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Matlock AC Junior Member's Waiting list
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Child Name
Your answer
Does your child have any medical
Your answer
DOB
Your answer
Parent's Name
Your answer
Parent's Contact email
Your answer
Contact Telephone Number
Your answer
Emergency Contact Name (if different to parent name above)
Your answer
Emergency contact number (if different to number provided above - please note this number should be available when the child is at a training session)
Your answer
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