Intention to B-Active Form

Welcome to the team!

This form is a request for your information to book a free trial with one of our B-Active memberships. Thank you for considering B-Active for your child's sports journey! We offer free trials for our Intro to Sports and Fitness Programme which includes Rugby, Netball, Hockey, Tennis, Soccer and Physical Development.

We're excited to have you here, and after your trial, we'll reach out for feedback. If your child enjoys the experience, we'll provide information on enrolling in our Extra Mural services at their school.

Let's embark on an incredible sports adventure together and remember to B-Happy, B-Healthy and B-Active!

Please remember this is for our trial period (2 weeks) not an official enrolment link. To officially enrol please go to: https://forms.gle/3RJULLaYzvKSrXwv9

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Guardian's Name and Surname: *
Player's Name and Surname: *
Player's date of birth:
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DD
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Any conditions our team should be aware of?
School or Venue/s to attend B-Active classes: *
Estimated start date of your membership?
Estimated Duration of your membership?
Which membership / classes are you interested in? *
Required
Do you currently have a membership with a different but similar group or service ?
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If the yes (above) please could you specify?
I (below), confirm the above is true and act on behalf of my dependant member/s of the B-Active Group. *
Contact Number: *
Contact Email Address:
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