2017 - 2018
Email address *
Untitled Title
Name of member(s) *
Your answer
D.O.B of member(s) *
Your answer
Name(s) of consenting Guardian *
Your answer
Telephone number *
Your answer
Does the member(s) have any medical conditions we should be aware of? If yes, please detail below. *
Your answer
PARENTAL CONSENT FOR MEDICAL TREATMENT: I consent to my child/children receiving medical treatment by a medical practitioner/authorised person should this be necessary. *
PHOTOGRAPHIC CONSENT: I consent to my child’s photograph being used by the club for publicity purposes. *
Membership Options *
Hoodie size (Samples available for sizing on Tuesday nights)
Please sign: *
Your answer
As a result of the Committee’s continued promotion of child protection, could all parents or those collecting children at the end of the sessions please collect them from the clubhouse and not the car park or directly from the slope. This is to ensure that all children are safely picked up by the adult responsible for them.Parents/Guardians of children who normally walk home from club sessions should sign this space:
Your answer
On completion of the above, please bring with you the Membership Fee of £20 per person (or £30 to include a hoodie). Cheques should be made payable to Ayrshire Junior Snowsports Club.
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