Moray Mavericks Booking Form
Adults Fridays 18.00pm - 21.00pm
Personal details
Full name of player
*
First Name
Last Name
Sex
*
Please Select
Male
Female
Date of Birth - Please be aware this is an over 18s session if you are under 18 please contact the club before completing this form
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Postcode
*
Emergency Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Medical
Are you undergoing treatment by a doctor at the moment?
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Yes
No
Do you have any of the following conditions?
*
Please Select
None
Physical conditions
Learning disabilities
Sensory Impairments
Autism/ Asperger's syndrome
If yes please give details
Any know allergies, including to medicines? If yes please give details
Please state any restrictions you wish to place on emergency treatment
If there is anything else that may affect your participation at these sessions please let us know here
Further information
The player agrees to adhere to the "Moray Mavericks Players Code of Conduct" - Please see "Club Policies" section of website to view.
*
Yes
To help us promote and grow basketball, please let us know how you found us?
Please Select
Internet Search
Word of Mouth
School
Active Schools
Flyers
Posters
Social Media
Local Paper
Other
The Moray Mavericks on behalf of itself, employees and agents hereby disclaims all liability except where negligence can be proven in respect of personal injury or loss suffered by participants attending these activities. In the event of an emergency, I give permission to sign on my behalf for any medical treatment.
*
Yes
Please verify that you are human
*
Submit
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