I WISH TO ENROL TO HUCCLECOTE NETBALL CLUB
JUNIOR REGISTRATION FORM 2015/16
FOR YEAR 9 AND BELOW
Participant’s Name:
Date of Birth:
School :
Year:
Home Telephone No:
Age:
Mobile No:
Address:
Emergency contact name:
Emergency contact number:
Doctors Tel No. (if known)
Post Code
Email :
Parents Occupation………………………………………………………………
MEDICAL INFORMATION:
(Please advise if you suffer from any allergies, take any medication, use an inhaler, or have any relevant medical
history.)
DIETARY INFORMATION:
Do wish to share the following info with England Netball YES/NO
Ethnicty
Religion
Disability
Photographs/videos may be taken throughout the season for use by the Hucclecote Netball club, local Media and
other netball hosting organisations. Please notify the organisers of any objections you may have personally.
I agree to abide by Hucclecotes Players Code of Conduct.
Signed by Parent:
Athlete:
Date:
Date: