Huntly Hound Registration Form


If you can help us in any way either during or in the lead up to summer mission please add this to the form in the section anything else.

Child's Name:*
Parent/ Guardian's Name:*
Home Telephone number:
Mobile Number:
Email Address for updates, don't worry Huntly won't Hound you!:
Emergency contact during club (Name & Number):*
class after summer break:
Name and Number of childs G.P.:*
Any illnesses or other medical conditions (e.g.Asthma) allergies/ medication which may affect normal activity?:
In the event of illness or accident, if neither I, nor the emergency contact can be contacted. I give permission for my child to receive any necessary medical treatment from a qualified First Aider or medical practitioner.:*
I Agree
No I do not Agree
I understand that the Huntly Hound Club activities will take place in the Church Halls and grounds, with appropriate supervision.:
I Agree
I give permission for photographs to be taken, which may be used in Church or newspaper publications including the church website.:*
If there are any other details that you think we should know please enter them here or if you can help during the week also please enter here.:
by checking this box you are electronically signing this form as a true statement and enrolling your child for the 2017 Huntly Hound Club:
I Agree Please Enroll my child.
Please enter the verification number on the right:*
one four six three two
* Required Fields

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