Name of parent / guardian: *
Relationship to young person: *
Contact phone number: *
Email: *
Preferred method of contact: *
Participant's Name: *
Participant's Address: *
Participant's Date of Birth: *
Would you like wellbeing support (participant)? *
Ethnicity Section (participant): *
Do you have any Disabilities / Medical Conditions / Allergies / Special needs? *
Please Provide More Information:
In the event of an emergency, I agree to the contact for emergency services, and medical treatment. *
Name *
Telephone Number *
Have you wrestled / grappled before? *
Where did you hear about the club? *
I agree to be added to the club WhatsApp group, to receive relevant club updates & information. (Required) *
I would like to be added to the monthly email newsletter. (Optional)
All participants acknowledge that this is a contact sport, participate at their own risk, and have obtained their own relevant insurance. *
There may be occasions where we use photography & videos for the purpose of posters, social media, and marketing advertisements. We do not include contact-specific information and will use generic labels, such as 'Youth enjoying sports'. I consent to this. *