Hurst (Big Shots) Junior Membership Applications 2018-19
We are very pleased to welcome you to the junior section of Hurst (Big Shots) Badminton Club.

To ensure we have the correct contact details for you, please fill out and submit this form. If you have any questions, please contact Daniel Bates via email at badminton@bates.net.

*Please fill the form out separately for each individual child*

If you are under 16, the form must be submitted by a parent or guardian. We will also use this information to ensure that you are kept informed about club events.

All information given on this form is held in strict confidence for the purposes of running Hurst Badminton Club. If at any time you wish for your details to be removed from these records, please email badminton@bates.net.

Contact Details
Child's name *
Your answer
Child's date of birth *
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Badminton England Registration number (if known)
Your answer
Parent/Guardian name *
Your answer
Address *
Your answer
Postcode *
Your answer
Parent/Guardian telephone number *
Neither the telephone number nor the email should be that of the child – this could make children vulnerable and is considered poor practice. For a child/young person these details should be those of the parent/guardian.
Your answer
Parent/Guardian email address *
Your answer
Sessions & Fees
Session choice *
Please indicate which sessions your child is interested in attending (you can select more than one as appropriate). This will be agreed in discussion with the coaches:
Required
Fees *
Please indicate which fees you will be paying for this child (NB. These fees cover affiliation to BADMINTON England and Cambridgeshire County Badminton Association, plus insurance). Please choose the first option, plus one of the others:
Required
Pre-existing medical conditions
Please detail below any important medical information that our coaches/club coordinators should be aware of (e.g. epilepsy, asthma, diabetes, food allergies etc.)
Your answer
Disability
The Disability Discrimination Act 1995 defines a disabled person as anyone with ‘a physical or mental impairment, which has a substantial long-term adverse effect on his or her ability to carry out normal day-to-day activities.
Do you consider your child to have a disability? *
If yes, what is the nature of the disability?
Emergency Contact Details
To be completed by the Parent/Guardian.

It is important that we have up-to-date contact details. Please insert the information below to indicate the person(s) who should be contacted in event of an incident/accident.

First contact name eg. Parent/Guardian *
Your answer
Emergency contact number *
Your answer
Second contact name
Your answer
Second emergency contact number
Your answer
Image Consents
It is sometimes helpful to capture photographs or video of children being coached. Any footage taken will be held confidentially subject to the consents given below:
Training Consent *
I give my consent for photographs or videos of my child to be used for badminton coaching purposes.
Public Consent (eg. website) *
I give my consent for photographs or videos of my child to be used in Hurst Badminton Club publications, or for Hurst Badminton Club publicity.
Registration Submission
By returning this completed form, I agree to my son/daughter/child in my care taking part in the activities of the club.

• I understand that I will be kept informed of any changes to these activities – for example timing and coaching details - using the details I provide.

• I understand in the event of injury or illness all reasonable steps will be taken to contact me, and to deal with that injury/illness appropriately.

• I understand that it is my responsibility to inform the club immediately if any of the details given on this form change.

Consent *
Registration Submission Date *
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