Tewkesbury Junior Anglers
Registration Form
Section 1: Child's Information
Child's Name
*
First Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
School
Age
*
Section 2: Parent/Guardian Information
Parent/Guardian 1 Full Name
*
First Name
Last Name
Relationship to Child
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Parent/Guardian 2 Full Name
*
First Name
Last Name
Relationship to Child
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Section 3: Medical Information
Medical Conditions/Allergies
*
Medications (if any)
Any additional information/comments:
Such as any SEN, Neurodirvesity etc...
Doctor's Name
*
First Name
Last Name
Doctor's Phone Number
*
Please enter a valid phone number.
Emergency Contact
(if different from parents/guardians)
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Relationship to Child
*
Section 4: Angling Experience
Previous Angling Experience
Yes
No
If yes, please provide details
Do you own your own fishing equipment?
Yes
No
If yes, please list what equipment you own
Section 5: Club Participation
I agree to abide by the Tewkesbury Junior Anglers' rules and code of conduct. https://www.tewkesburyjunioranglers.co.uk/our-policies
*
Yes
I give permission for my child to participate in all club activities
*
Yes
I give permission for photographs/videos of my child to be used for club promotional purposes.
*
Yes
No
Date
*
-
Day
-
Month
Year
Date
Any additional information/comments
Important Notes
Please tick once completed:
Please ensure all information is accurate and complete
Please complete this form with the membership fee
Please ensure that you have read and understood the clubs safeguarding policy
Data Protection
Tewkesbury Junior Anglers will handle your personal information in accordance with applicable data protection laws. We will only use your information for club administration, communication and safety purposes.
Submit
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