Club Registration Form (Under 18s only) 2026/27

This form must be completed and signed by a Parent/Carer

First Name of Player

Date of Birth - using following format - e.g.07/03/21

School Year in 2026/27

Full Name of Parent/Carer

Parent/Carer Contact Number

Parent/Carer email address

Name of Emergency Contact

Emergency Contact Mobile Number

Relationship to Club Member

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.

Does the player have any long term illnesses or injuries we should be aware of?

Yes

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, is the player allergic to any medication?

Yes

If you have answered yes to above please provide details below

Please tick any Club voluntary roles which may be of interest to you / the player

Add any additional Volunteering details below

I have read and agree to the Terms & Conditions set out in the Member Declaration (U18s) on the Club Website. https://www.rhonddaladieshockeyclub.com/member-declaration

Yes

I confirm I have read and agree to RLHC's Policy on the Use of Photography with Young People. I give RLHC my consent to take photographic or recorded images of my child (as named above). https://www.rhonddaladieshockeyclub.com/policiesprocedures

Yes I give RLHC my consent to take photographic or recorded images of my child

No, I do not give RLHC my consent to take photographic or recorded images of my child

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

Signature of Parent/Carer

Club Registration Form (Under 18s only) 2026/27

This form must be completed and signed by a Parent/Carer

First Name of Player

Date of Birth - using following format - e.g.07/03/21

School Year in 2026/27

Full Name of Parent/Carer

Parent/Carer Contact Number

Parent/Carer email address

Name of Emergency Contact

Emergency Contact Mobile Number

Relationship to Club Member

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.

Does the player have any long term illnesses or injuries we should be aware of?

Yes

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, is the player allergic to any medication?

Yes

If you have answered yes to above please provide details below

Please tick any Club voluntary roles which may be of interest to you / the player

Add any additional Volunteering details below

I have read and agree to the Terms & Conditions set out in the Member Declaration (U18s) on the Club Website. https://www.rhonddaladieshockeyclub.com/member-declaration

Yes

Yes I give RLHC my consent to take photographic or recorded images of my child

No, I do not give RLHC my consent to take photographic or recorded images of my child

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

Signature of Parent/Carer