Colwyn Netball Club - Registration Form
ABOUT THE MEMBER
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Phone Number (if over 16) *
Email Address (if over 16) *
NEXT OF KIN
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
OTHER
Do you have any medical conditions or disabilities? *
Consent for use of your/your child's name, photo & video on our website & social media platforms *
Please confirm you agree to the following policies (available to view on our website) *
Required
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