Huntly Hound Registration Form

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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:*
Address:*
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):*
D.O.B.:
School:
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.:*
yes
no
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:*
six five two three two
* Required Fields

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