Bowmen of Harrow Archery Course Application for 18+
Which of our courses are you interested in?
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Certified Beginner Course, 12.5 hours
Taster session, 2 hours
About you
Title
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Please Select
Title
Mr
Mrs
Miss
Rather Not Say
Your name
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First Name
Last Name
Date of birth
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-
Day
-
Month
Year
Date
Address
Address
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Street Address
Street Address Line 2
City
County
Postal Code
Your contact information
Mobile Telephone Number
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Please enter a valid phone number.
Format: 00000-000000.
Home Telephone Number
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Please enter a valid phone number.
Format: 00000000000.
Email Address
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example@example.com
Emergency contact information
Name
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First Name
Last Name
Emergency Contact Telephone Number
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Please enter a valid phone number.
Format: 00000-000000.
Other information
Are you left or right handed?
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Please Select
Left handed
Right handed
Do you have any medical conditions?
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Yes
No
If you have a medical condition please provide details, we need to understand how best to help you, otherwise write 'none'.
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If this is not applicable please write 'none'.
Do you have any accessibility requirements?
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Yes
No
If you have an accessibility requirement please provide details, we need to understand how best to help you, otherwise write 'none'.
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If this is not applicable please write 'none'.
Are you accompanying a child or multiple children on their archery course?
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No
Yes, 1 child
Yes, 2 children
Yes, 3 children
If you are accompanying a child or multiple children on their archery course(s) please provide their names here, otherwise write 'none'.
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If this is not applicable please write 'none'.
You must be either a parent of guardian of any children you are looking after, which of these are you?
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Parent
Guardian
Does not apply
If you have any specific requests of you archery course coaches please let us know here, otherwise write 'none'.
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If this is not applicable please write 'none'.
If you have any archery experience please let us know by writing about it here, otherwise write 'none'.
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If this is not applicable please write 'none'.
Would you one day be interested in joining the club as a memeber?
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Yes
No
Where did you hear about the Bowmen of Harrow Archery Club?
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Please describe how you heard about us
Consents & acknowledgements
Data use and retention - I consent to the Bowmen of Harrow Archery Club storing and retaining my data for use by Bowmen of Harrow in running their archery club and I understand that submission of this form does not automatically grant me a place on a beginners course.
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Yes
Photo, Video and Digital Content - I hereby grant Bowmen of Harrow permission to use my likeness in a photograph, video or other digital content reproduction in any and all of its publications, including but not limited to Social Media or website entries, without payment or any other consideration. Consent may be withdrawn at a future point in time by emailing secretary@bowmenofharrow.org.uk
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Yes
Physical contact - I acknowledge that the teaching of archery (like many sports) does involve some physical contact between coach and beginner and I am stating that I accept this.
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Yes
Payment & refund policy part 1 - I acknowledge that once payment is made for my beginner course I will be entitled to a full refund (minus £30 course administration fee) up to 1 week before my course commences.
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Yes
Payment & refund policy part 2 - I acknowledge that once payment is made for my beginner course I will not be entitled to any refund if I cancel during the week before my course commences.
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Yes
Payment & refund policy part 3 - I acknowledge that once payment is made for my archery taster session I will not be entitled to any refund.
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Yes
I agree to receive an email auto-reply containing this form and other information.
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I am happy with this
Finishing up
Today's date
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Day
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Month
Year
Date
Confirm name
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First Name
Last Name
Please verify that you are human
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Submit
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