Application

Application Form

(Section 1)

If you only have one child at the club, please skip to section four. If you have more than one child registered, please complete the section below.

Childs Details

* Indicates required field

Childs Name *

First

Last

Name of school *

Date of birth *

School Year (starting September 2020) *

Gender *

Boy Girl

Medical details *

Additional Child

(Section 2)

2nd Childs Name *

First

Last

School name *

Date of birth *

School Year (starting September 2020) *

Gender *

Boy Girl

Medical details *

Additional Child

(Section 3)

3rd Childs Name *

First

Last

School Name *

Date of birth *

School Year (starting September 2020) *

Gender *

Boy Girl

Medical details *

Parents / Guardians details

(Section 4)

Parents *

First

Last

Email *

Relation to child *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency contact details

(Section 5)

Emergency contact name *

First

Last

Emergency contacts phone number *

Relation to Child *

Submit