Senior hockey -Contact information
All prospective members of Stockport Bramhall Hockey Club are required to complete this registration form and pay the required subs.
If you are school year 11 or below on the 5th September 2018 then you must NOT fill in this form but complete the junior form to ensure we comply with safe guarding requirments.
Membership
Full senior membership subscriptions are £140 per season payable before the 30th September 2018
Subs can be paid by cheque made payable to Stockport Bramhall Hockey Club or online to 16-30-13, 10829005
Please use your name as the payee reference so we can identify the payment.

Alternatively you may pay in 3 instalments.
£50 by 30th September, £50 by 31st October & final payment of £40 by 30th November.
if you have any queries with regards to membership fees please contact the Treasurer jamie.a.white9@googlemail.com

Data Protection policy
We are collecting this data to ensure we have up to date contact information. This will be used for the following reasons:
1. Arranging teams
2. Registering players and officials with leagues and competitions
3. Internal club communications (e.g. newsletters)
4. For emergency contacts
No information will be shared with third parties except in the case of emergency.

Your data will be kept safe and secure. If you have any questions about how SBHC is using your information, would like to know what information we have about you or have a complaint, please contact Stockport Bramhall Hockey Club on: contact@stockporthockey.co.uk or speak to your captain or coach who will be able to pass your enquiry onto the committee.

To view our data protection policy please visit the club website: stockporthockey.co.uk

All data will be kept for the season – you will be asked to provide the information again at the start of each season to ensure we have the most up to date information. We will delete your information if you inform us that you are leaving the club. We will also review the database annually at the beginning of the season and any members who do not re-register will be deleted from the database at this time.

Master / Miss *
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Address *
Your answer
Postcode *
Your answer
Landline telephone number *
Your answer
Mobile telephone number
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Doctors Name *
Your answer
Doctors Surgery *
Your answer
Doctors Telephone Number *
Your answer
As far as you are aware are you allergic to any drugs? (please state)
Please leave blank if not applicable
Your answer
Are you taking any regular medication, if so for what reason.
Please leave blank if not applicable
Your answer
Do you have any long term illness or injury. (please state)
Please leave blank if not applicable
Your answer
Medical declaration
I consider myself to be physically fit and capable of full participation and agree to notify the club of any changes to the medical information provided.
Consent given? *
Date
MM
/
DD
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YYYY
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