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GLTC Supervision of Children
In order to access coaching for your child at Godalming Lawn Tennis Club please provide the following information
* Indicates required question
Child's Full Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Primary Emergency Contact
*
Full Name
Your answer
Email Address
*
Your answer
Mobile Phone Number
*
Your answer
Secondary Emergency Contact
Full Name
Your answer
Email Address
Your answer
Mobile Phone Number
Your answer
GP / Medical Centre
GP Name
Your answer
Medical Centre
Your answer
Phone number
Your answer
ALLERGIES / CONDITIONS
*
Are there any allergies or medical conditions which we should know about?
No
Yes
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