Seeing is Believing Registration Form

Seeing is Believing Registration form

Complete the form below to participate in this event.
SATURDAY 2nd April

11AM TO 4PM
Name *

First Name Last Name
Birth Date: *

Month Day Year
Age *
E-mail *
Phone Number: *
Address: *

Street Address

Street Address Line 2

City County

Postcode Country
Do you have any medical issues? *

No Yes
If you answered Yes please specify and note any medication
Emergency / Parent and Guardian
Parent / Guardian Name *

First Name Last Name
Emergency Contact Number *
Please enter a valid phone number.
Media Consent Form
By completing this form, you will give Indian Gymkhana and the parties involved permission to showcase my personal story, take photographs and/or videos of me. We may include your full name with images and/or your story.

If you grant permission, Indian Gymkhana and parties involved will have rights to use images resulting from the event, and any reproductions or adaptations of the images for fundraising, publicity, or other purposes to help achieve the organisation’s aims. This might include (but is not limited to), the right to use them in printed, broadcast and online publicity, social media, press releases, funding applications, and with third party organisations

If you change your mind on the day, please let coaches know so that they can follow the procedures in place.
Do you give consent for our media team to take photographs and videos of your child / participant *

Yes No
Data Protection
The data confirmed from this application will not be publicised but is only here for use in an emergency. We would like to confirm that we are following the general data protection regulations. We would also like for you to confirm that all details above are correct.
please tick that you read and understood the data protection policy *

I have read, understood, and accepted the data protection for the event.
Once this form is complete you or your child will be able to participate. We look forward to seeing you there.
Should be Empty:

Seeing is Believing Registration form

Emergency / Parent and Guardian

Media Consent Form

Data Protection