Bowmen of Harrow Archery Course Application for Under 18s
To be completed by a parent/guardian of person under 18 years of age
Which of our courses is the U18 interested in?
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Certified Beginner Course, 12.5 hours
Taster session, 2 hours
Parent/guardian: About you
Title
*
Please Select
Title
Mr
Mrs
Miss
Rather Not Say
Your name
*
First Name
Last Name
You must be either a parent of guardian of any children you are looking after at our club, which of these are you?
*
Parent
Guardian
Parent/guardian: Address
Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Parent/guardian: Contact information
All correspondence between the club and the U18 must be via the parent/guardian
Mobile Telephone Number
*
Please enter a valid phone number.
Format: 00000-000000.
Home Telephone Number
*
Please enter a valid phone number.
Format: 00000000000.
Email Address
*
example@example.com
Emergency contact information, for parent/guardian and U18 participant
Name
*
First Name
Last Name
Emergency Contact Telephone Number
*
Please enter a valid phone number.
Format: 00000-000000.
Under 18 participant: About you
Title
*
Please Select
Mr
Miss
Rather not say
Your name
*
First Name
Last Name
Date of birth
-
Day
-
Month
Year
Date
Under 18 participant: Address
Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Other information about the under 18 participant
Are you left or right handed?
*
Please Select
Left handed
Right handed
Do you have any medical conditions?
*
Yes
No
If you have a medical condition please provide details, we need to understand how best to help you, otherwise write 'none'.
*
If this is not applicable please write 'none'.
Do you have any accessibility requirements?
*
Yes
No
If you have an accessibility requirement please provide details, we need to understand how best to help you, otherwise write 'none'.
*
If this is not applicable please write 'none'.
If you have any specific requests of you archery course coaches please let us know here, otherwise write 'none'.
*
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'.
*
If this is not applicable please write 'none'.
Would you one day be interested in joining the club as a memeber?
*
Yes
No
Where did you hear about the Bowmen of Harrow Archery Club?
*
Please describe where 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 the under 18 participant a place on a beginners course.
*
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. This applies to the parent/guardian and the under 18 participant. Consent may be withdrawn at a future point in time by emailing secretary@bowmenofharrow.org.uk
*
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.
*
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.
*
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.
*
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.
*
Yes
I agree to receive an email auto-reply containing this form and other information.
*
I am happy with this
Finishing up
Today's date
*
-
Day
-
Month
Year
Date
Confirm name
*
First Name
Last Name
Please verify that you are human
*
Submit
Should be Empty: