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1 - 2 - 1 Registration form

Parent information

This form must be completed by a parent or legal guardian. One parent or legal guardian is required but there is the option to add a second person's details to this form. 

This form must be completed once for each of the children you are registering.

Parent 1*

Parent 2 (optional)

player information

This for must be completed once for each child.

Which age group?

Medical information

The following information will assist staff to support your child.

Does your child suffer from (please tick all that apply)

emergency contact information

In case of emergency, we will first try the details listed above for parent 1 and 2. If we cannot contact either of these named people, please provide details for one (required) or two (preferred) adults who would be able to respond to an emergency call from us and, if required, collect your child. 

Contact 1*

Contact 2

Photo and Video Consent

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