Cardiff City Basketball Club Child Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form must be completed before your first session with Cardiff City Basketball Club (CCBC). It only needs to be completed once. If any of the below details change it is your responsibility to update your registration information accordingly.

The below form is required to collect all of your relevant information for your health and safety and to ensure that your consent is given to ensure you have the best experience possible while being involved in CCBC.

If you are below 18 years of age, you must ask a parent or guardian to fill out this registration form with you, so that you have the proper consent given to be involved with CCBC.

Childs Name *

Childs age *

Childs Date of Birth *

YYYY

Childs Gender *

Male

Female

Prefer not to say

Other:

Parent/Guardian contact name *

Parent/Guardian contact number *

Parent/guardian Email *

Emergency Contact Name *

Emergency contact number *

Emergency Contact Email *

If the child has a medical condition or disability that will impact their ability to play basketball please out line below. If the do not have one please write 'N/A' *

I give my consent that if an emergency medical situation arises, the organisation / club may act in loco parentis for administration of first aid and/or other medical treatment that in the opinion of a qualified medical practitioner may be necessary. I also understand that in such circumstances all reasonable steps will be taken. *

Agree

Disagree

I confirm that I agree to Cardiff City Basketball Club using my child's image in promotion of the club and sport via social media, publicity online and in print. *

Yes

I confirm that my child will abide by the code of conduct for children and its anti-bullying policy. *

Yes

I agree as a parent to abide by the code of conduct for parents. *

Yes

I understand that the participation in basketball drills, exercises, sessions, camps or events and any related activity conducted by CCBC is voluntary and at the players own risk. I am aware that exercise can be physically stressful and, in certain instances, even result in injury. CCBC will not be liable for any injuries or damage arising from participation in training to the undersigned.I acknowledge that I have read this document in its entirety and understand the above. I have had the opportunity to ask questions and receive answers. *

Agree

Disagree

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms