Senior Taster Sessions 2026/27
Please complete the details below before joining us for a Taster Session.
First Name
Last Name
Email
Phone Number
Address
Postcode
Date of Birth - using following format - e.g.07/03/21
Name of Emergency Contact 1
Emergency Contact 1 Mobile Number
Medical Information - ALL club members are required to provide medical information as accurately as possible. You must advise the club immediately of any changes to the information you provide.
Do you have any long term illnesses or injuries we should be aware of?
Yes
No
If you have answered yes to above please provide details below
Please provide details of any regular medication we should be aware of:
As far as you are aware, are you allergic to any medication?
Yes
No
If you have answered yes to above please provide details below
I have read and agree to the Terms & Conditions set out in the Member Declaration on the Club Website. https://www.rhonddaladieshockeyclub.com/member-declaration
Yes
No
I have read and agree to the Terms & Conditions set out in the Privacy Policy on the Club Website. https://www.rhonddaladieshockeyclub.com/policiesprocedures
Yes
No
Your Signature
Date
Submit
Senior Taster Sessions 2026/27