Leicester Blue Sox Kids Baseball5 registration 2021

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Please complete this form to register your child for the 2021 season.

Player first name *

Player surname *

Player date of birth *

YYYY

Player school year *

What Baseball5 age-group are you registering for? *

Under 10’s (ages 6-9) 5.30pm-6.30pm

Under 14’s (ages 10-13) 6.45pm-7.45pm

Parent/guardian first name *

Parent/guardian surname *

Mobile phone number *

Email address *

Emergency contact first name *

Emergency contact surname *

Emergency contact mobile phone number *

Emergency contact relation to child *

Does your child suffer from any medical conditions/allergies that the club/ coach should be aware of (including any current medication)

Please provide details of medication that must be administered:

Name of Doctor / Surgery / Phone number *

Has your child played baseball/softball before *

Yes

If yes, in what setting

Previously Leicester Blue Sox Juniors or Little Sox member

Other club or league

School

Other:

Clear selection

I confirm that to the best of my knowledge all information provided on this form is accurate and that I will undertake to advise the club of any changes to this information. *

Yes

Required

I agree to the child named above taking part in the activities of the club *

Yes

Required

I consent to the club taking photos of my child for promotional purposes *

Yes

Required

I consent to the club using my email address and mobile number for communication purposes and apps such as WhatsApp etc. *

Yes

Required

Data Protection Statement: by submitting this form, you understand and accept the following: Leicester Blue Sox (LBS) is committed to respecting your privacy. The information that you provide on this form will be stored securely by and used by the club the following:- To provide services to you – where you have requested them - in line with our purpose to develop the sports of baseball and softball- To organise the event, programme or course that you registered for- To keep a record of membership, and attendance with our programmes, events and courses- If the registration data is no longer needed, we will delete it from our records. LBS may take photographs or video at events, programmes and courses for reporting, promotion or marketing purposes. You may access, update or request deletion of your personal information by contacting LBS . I agree to this LBS Data Protection Statement *

Yes

Required

Electronic signature (please type your first name and surname below): *

Submit

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