Manchester Bees Dodgeball Club - New Starter Form (Juniors)
Manchester Bees Academy is a dodgeball academy for 14 to 16 year olds. All sessions involving junior members are run under the guidance of coaches qualified to an appropriate Level 2 Coaching award, who have enhanced DBS checks and have completed safeguarding training.

If you need to get in contact with us about anything, you can either email committee@manchesterbees.co.uk or chat to us on Facebook: https://www.facebook.com/ManchesterBeesDodgeball/

To give permission for a child in your care to attend, please complete this form and you will also receive a copy it upon submission for your records!
Email address *
Parent/Carer's First Name *
Your answer
Parent/Carer's Last Name *
Your answer
Contact Number *
Your answer
Address and Postcode *
Your answer
Relation to the Young Person *
Your answer
Young Person's Information
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Alternative Emergency Contact
In the event of an accident or injury, we will endeavour to contact the adult named above. If this is not possible, please provide the details for an alternative emergency contact
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Relation to the Young Person *
Your answer
Medical Information
I certify that to the best of my knowledge the named young person is physically fit, has sufficiently prepared or trained to participate in dodgeball, and has not been advised to not participate by a qualified medical professional *
Relevant Medical Information
Your answer
Participation in Sport
Participating in dodgeball involves certain risks including the risks of physical injuries and damage to property.
I consent to the named young person travelling by any form of public transport, minibus or motor vehicle driven by a club coach or any other parent attending, to any event in which the club is participating *
I understand that the Club or Organisers accept no responsibility for loss, damage or injury caused by or during attendance on any of the club’s organised activities except where such loss, damage or injury can be shown to result directly from the negligence of the Club or the Organisers *
Promotional Material & Data Protection
Occasionally Manchester Bees Dodgeball Academy may wish to post images or promotional material online to advertise the club. Every care will be made to safeguard you child. For information on how we will store your data, please refer to our Privacy Notice and Data Protection Policy on our website: https://manchesterbees.co.uk/privacy-policy/
I give permission for Manchester Bees Dodgeball to use the named child’s image or likeness online or in promotional materials *
How did you first hear about Manchester Bees Dodgeball Club? *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy