Northampton Falcons Membership Form

Name

First NameLast Name

E-mail

Contact Telephone

Emergency Contact Name

Emergency Contact Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I'm looking to

I'd like to play for:

Additional comments: What does your ideal training session look like ?

DOB

Gender

Height

Do you have any basketball related qualifications?

Do you have any existing medical conditions that our coach should be aware of?

Data Protection: Your Data and 3rd Parties

Basketball England: The data you provide in this form will be provided securely to Basketball England in order to register your membership as a player. BE's membership includes liability insurance and other benefits which Basketball England will contact you about. - Their Privacy Policy.

Jotform: The data you provide in this form will be stored on Jotform's ultra-secure servers, Jotform provides us with the facilities to create and store forms such as this membership form. - Their Privacy Policy.

I accept that Northampton Falcons Basketball Club will securely transmit my data to the below 3rd party services.

Club Rules

Full club rules can be found here.

Privacy Policy

Club Privacy Policy can be found here.

I have read and agree to Northampton Falcons Basketball Clubs Rules