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Student
First Name
Surname
Gender
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Female
Emergency Contact 1 Full Name
Emergency Contact 1 Telephone Number
Emergency Contact 2 Full Name
Emergency Contact 2 Telephone Number
My child is fit to participate in Okehampton Flyers sessions.
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Yes
No
None
Does your child have any medical conditions that we need to be aware of? If yes, please give details.
Will your child be bringing any medication with them? If yes, please specify.
Will they be administering this medicine themselves?
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Yes
No
None
Please state the dose they require and when.
Do you give permission for us to administer this medicine in an emergency?
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No
None
I give permission for Okehampton Flyers staff to carry out any emergency medical treatment required by my child.
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No
None
I consent to photographs/videos to be taken of my child during sessions and at competitions, to be used as feedback and to be published in newspapers, on websites and on social media.
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None
Customer
First Name
Surname
Email
Password
Password confirmation
I would like to receive information about Okehampton Flyers, OCRA and Fusion activities and events, such as holiday camps, by email.
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The club can contact me by:
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