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Colwyn Netball Club - Registration Form
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ABOUT THE MEMBER
First Name
*
Your answer
Last Name
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Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone Number (if over 16)
*
Your answer
Email Address (if over 16)
*
Your answer
NEXT OF KIN
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian Email Address
*
Your answer
Parent/Guardian Phone Number
*
Your answer
OTHER
Do you have any medical conditions or disabilities?
*
Your answer
Consent for use of your/your child's name, photo & video on our website & social media platforms
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Yes
No
Please confirm you agree to the following policies (available to view on our website)
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Code of Conduct
Privacy Policy
Constitution
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