Upminster HC Under 18's Membership Form 2017/18

Sign up for ALL under 18 players, playing either minis (junior) or senior hockey.

Upon submitting this form, you will need to print and complete the U18 PARENTAL CONSENT FORM which is available to print from the web-site.

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    PLEASE READ BEFORE SUBMITTING:

    Upon submitting this form, you will need to print and complete the U18 PARENTAL CONSENT FORM which is available to print from the web-site. Please hand the PARENTAL CONSENT FORM in person or post to Andrew Berry at 3 Blenheim Close, Upminster, Essex RM14 1SH. Membership Fees: Aged up to 18 as at 1st Sept (in full time education) = £90.00 This reduces by £10 for each additional child member being applied for. Family membership - where parents and children are members of the club, then no family shall pay more than £300 collectively. Membership Fees can be paid by by bank transfer to account 02224127 with sort code 40-07-31. Please do not forget to use your name as the reference. Cheques can be made payable to Upminster Hockey Club Limited. Please hand these to Andrew Berry with your signed application form. Declarations: By submitting this form: • you confirm that you are happy and agree with the club rules and Codes of Conducts for players and parents as contained upon the club website http://www.upminsterhc.co.uk/club-policies/. • you consider your son/daughter to be physically fit and capable of full participation and agree to notify the club of any changes to the medical information provided. Furthermore, in the event that my son/daughter is injured, I give my permission for the team managers/coaches appointed by Upminster Hockey Club Limited to obtain emergency medical treatment on my behalf. • you consent to your son/daughter travelling to venues for matches and training by transport provided by the club which may include travelling in other club members' vehicles. • you are aware that there maybe times that photographs and/or footage maybe taken during matches and training sessions by approved agents and/or officers of Upminster Hockey Club Limited. Such images shall only be used for publicity/training purposes in accordance with the Upminster Hockey Club Limited Safeguarding and Protecting Young People in Hockey Policy and Photography Policy and give consent for your son/ daughter to feature in such photos/ images. You hereby only grant approved agents the right to use the images resulting from the photo/film shoots. This includes any reproductions or adaptations of the images for all general purposes ie local newspapers, local magazines, other promotional articles (inc. flyers) and the club’s website.

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