Super Saturday Player Form
Leicester vs Chiefs Super Saturday
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Players Name *
DOB *
MM
/
DD
/
YYYY
Age Group *
Parent/Guardian Name *
Address
Emergency Contact Number *
Email Address *
Any Medical Conditions/Medication Required
Photo Consent *
By ticking yes, you are confirming that you are legally entitled to give consent, for Exeter Chiefs & Community Chiefs to use images/video taken of the above child in their forthcoming advertising campaigns and on all marketing platforms including social media (Twitter/Facebook).
Required
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