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Copthorne Silver Band - Learners Class
Registration Form - This information will not be passed to any third party
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* Indicates required question
Name of Participant
*
Your answer
Age as at 1st September 2022
*
Your answer
Has participant played before?
*
Yes
No
Name of Parent / Guardian (this information will be used as the primary contact and next of kin)
*
Your answer
Parent / Guardian email:
*
Your answer
Parent / Guardian phone number:
*
Your answer
Name of Second Contact:
Your answer
Second contact person email:
Your answer
Second contact person phone number:
Your answer
Do you have any health issues or special needs (please tick all that apply)?
Asthma
Allergies - please detail under other
Diabetes
Epilepsy
Learning difficulties - please detail under
None
Other:
Thank you for submitting your child's registration form. We will be in touch to confirm you place within 7 days.
Your answer
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