Participant Registration Form

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Please complete the following form in order to register your child as a participant with The Harlequins Foundation.

You can find our full privacy policy on our website, by clicking here: https://www.harlequins.foundation/privacy-policy/#more-3353

We may wish to share the information you provide below with trusted third-parties such as Premiership Rugby and other funding bodies, where you take part in an externally funded programme or activity.

Participant Name *

Participant Date of Birth *

YYYY

Gender *

Ethnicity

Address line 1 *

Post code *

School *

Does the participant self-identify as disabled? *

Yes

If yes, provide details of the specific impairment

Does the participant have any illness, injury, or medical condition that may affect their ability to take part in a practical Rugby HUB session? *

Yes

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