Jubilee Half term booking form

Weald Coaching developing young people in cricket
BOOKING FORM
PLEASE COMPLETE ALL IN BLOCK CAPITALS
CHILD SURNAME
CHILD FIRST NAME
DATE OF BIRTH

Month Day Year
Date
GENDER
ADDRESS (IN FULL)
POSTCODE
PARENTS/CARERS NAME(S)
TELEPHONE
MOBILE
EMAIL
example@example.com
ALTERNATIVE EMERGENCY CONTACT (name, mobile and telephone number)
DETAILS OF ANY RELEVANT MEDICAL CONDITIONS
I WISH TO BOOK

AGES 7-11:
Monday 30 May 9.00am-12 noon
Tuesday 31 May 9.00am - 12 noon
I understand in signing this application that:
- I acknowledge that both Weald Coaching Limited and Staplehurst Cricket & Tennis Club have a Data Privacy Policy and the information on this form will be processed in accordance with those policies to enable my child to fully participate in the Weald Coaching's programmes
- I agree that Weald Coaching Limited and Staplehurst Cricket & Tennis Club do not accept responsibility or liability for any personal accident or injuries incurred during any practice session or match
- I have read Weald Coaching Limited's Code of Conduct and agree to abide by it
- I consent to photography of my child in games and training and appropriate use of photographs in Weald Coaching Limited's and Staplehurst Cricket & Tennis Club's publications and website
SIGNED

Clear
PARENT/CARER
DATE

Month Day Year
Date
Should be Empty:

Weald Coaching developing young people in cricket