Xtreme Registration Form : Tabs Penarth

Child details

Name*

Date of birth*

School year*

Address*

Allergies/medical information

Any other information

Parent/gaurdian details

Name*

Relationship to child*

Contact number*

Email address*

Other emergency contact

Name

Relationship to child

Contact number

Email address

Other information

Is your child allowed to walk home alone?*
YesNo

If yes please write a letter to the club to confirm this.

Do you give consent for your child to be photographed during club sessions?*
YesNo

Do you give consent for these photographs to be used by the club on internet devices eg. Church social media accounts?*
YesNo

Please note the club holds no responsibility for the loss or damage to any personal equipment. Club members are not permitted to use electronic devices during club sessions including mobile phones. Any club member will be asked to place their mobile phone in an appropriate box when signing into the club, during club times these will be locked away and will be returned at the end of the session.

We would like to communicate club information with you / your child through a club WhatsApp group do you give consent for us to do that?*
YesNo

Contact number (parent)

Contact number (child)

If any of the above information changes please inform the Club Leader Immediately

I understand that I will be notified in the case of a medical emergency. In the event that I cannot be reached, I authorise that the necessary services will be contacted and my child to receive the appropriate attention.

Xtreme Registration Form

Child details

Parent/gaurdian details

Other emergency contact

Other information

Interested Event