Huddersfield Dragons Hockey Club - Membership Form

To ensure that we have the correct contact details for you, please complete the information requested below and return the form to the Membership Secretary. This information will be used to keep you informed about Club events and to contact you in the event of an accident or incident. Some of the information is required to comply with the England Hockey Equity Policy, which has been adopted by the Club. All Details will be stored securely and access will be restricted to authorised club officers only.

    Contact Information

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    Medical Information & Consent

    In case of emergency, and as part of the club’s responsibility to its membership, ALL club members are required to complete the medical information form as accurately as possible.
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    Under 18 Member Consent

    It is a requirement of Huddersfield Dragons Hockey Club that parental consent is provided for participation, transportation and photography. TRANSPORTATION: I consent to my son/daughter travelling to venues for matches and training by transport provided by the club which may include travelling in other players’ private cars. PHOTOGRAPHY: In some environments it is impossible to control photography by external parties, however I am aware that that there may be times that photographs and/or footage may be taken during matches and training sessions by approved agents and/or officers of Huddersfield Dragons Hockey Club. Such images shall be used only for training/publicity purpose in accordance with Safeguarding and Protecting Young People in Hockey Policy and give consent for my son/daughter to feature in such images. I only grant approved agents the right to use the images from the photo/film shoots. This includes any reproductions or adaptations of the images for all general purposes i.e. local newspapers, magazines, other promotional material and the club’s website.
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    Ethnicity and Disability

    England Hockey requests this data from clubs as part of the annual affiliation process and completing this data enables the club to give an accurate picture to England Hockey on our membership which in turn supports EHB's application for funding from the government
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    Declaration

    To be complete by Parent or Guardian if under 18. I consider myself/my son/my 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 of an injury/accident I give permission for the team managers/coaches appointed by Huddersfield Dragons Hockey Club to obtain medical treatment on my behalf/ for my son/ my daughter.
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