Netball

Parent's Name

Firstname(*)

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Surname(*)

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Child's Name (if for children's activity)

Firstname

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Surname

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Date of Birth(*)

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Male / Female?(*)

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Email(*)

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Mobile Phone Number(*)

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Address

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Address Line 2

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Postcode(*)

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Existing Medical Conditions

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Doctor's Name

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Doctor's Number

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I being the parent/Guardian give permistion for my childs photos to be taken as and shared on Well Foundation Sports Social Media , i also give permition for relevent first aid carried out incase of emergency, all medicines must be brough along with child. I also give permistion for my child under 18 to go on any trips arranged by Well Foundation or matches played away.

Please type your name(*)

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Female Sports

Tae Kwan Do Self Defence, Lanarkshire Mosque, 7.15pm - 8.30pm (£3)Womens Fitness Class - Mondays 5.15pm - 6.30pm, Bellshill Academy. Edinburgh Football Academy, Fridays 8.30pm - 9.30pm, Corn Exchange Edinburgh 4 - 12years old, £3 per classTae Kwan Do, Wednesday 6pm - 7pm - Kinning Park, 43 Cornwall St, G41 1BA (£3)Tae kwan Do - Girsl 5 -16, Lanarkshire Mosque, Wed 7.30pm - 8.30pmBounceback Netball - Woman - Mon 1pm - 2pm - Jock Stein Sports Centre, Hamilton ML3 9TU £3 OFF at MomentNetball (14 & Over) - Ravenscraig, Wed 8pm - 9pm Invalid Input

(*)

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Netball

Well Foundation Sports Academy