NEW MONMOUTH CLUB

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NEW MONMOUTH CLUB

Friday evening club dates 12, 19, 26 November. 3, 10, 17 December
Club venue: Monmouth School for Girls, Hereford Road, Monmouth NP25 5XT
Contact: Tina Dean development@welshlacrosse.co.uk

Parents name *

Parents email *

Alternative email. Answer n/a if not applicable *

Parents postal address and post code *

Emergency contact name (1) *

Emergency contact phone number (1) *

Emergency contact name (2) *

Emergency contact phone number (2) *

Players first name *

Players surname *

Players current school *

Players school year group *

5/6

7/8

9/10

11/12

How does your child identify? *

Male

Female

Prefer not to say

Other:

Players current playing level *

Beginner (new to lacrosse)

Intermediate (playing at club or school regularly)

Wales academy player

I will pay £5 per session upfront. A refund for illness or Covid will be given if your child is unable to attend. *

Yes

Required

For your child to secure their place and be added to the register please pay £30 by BACS (if attending all 6 sessions): Wales Lacrosse. Sort Code 20-90-69. Account No 83356167 Ref: Monmouth Club. A full refund will be given if we cancel the course ie extreme weather, illness or Covid. No refund will be granted if you cancel within one week of the club training day. *

Yes, I am happy with these terms

Other:

Required

Will you need to borrow a stick? *

Yes

Required

Medical / allergy / injury / symptoms / triggers / signs and treatments. Answer n/a if not applicable at this time. Please email Tina Dean at development@welshlacrosse.co.uk if the situation changes prior to the club commencing. *

I grant permission for Wales Lacrosse Association staff to take photographs and videos of my child whilst on camp. These images may be used for social media or on our website in accordance to our photographic policy in section 5.5 of our safeguarding policy https://bit.ly/3nZE5d5 *

Yes

Our primary aim is to keep your child safe and free from harm throughout their time with us. We will always call you if they are unwell or injured. In the unlikely event they are injured and we need to call an ambulance, would you give permission for a qualified medic to give appropriate treatment. *

Yes

Please detail any further requirements we need to know about while your child is in our care. Answer n/a if not applicable. *

I would like to receive information regarding WLA camps and academies in the future *

Yes

Required

Any questions?

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