Sheet1 - Newmarket Hockey Club

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					                          Newmarket Hockey Club
            Subscription Payment & Junior Player Details 2009-10
    Please complete this form and return it with your subscription to Chris or Helen. Cheques made
    payable to: Newmarket Hockey Club. These details are important to the efficient and effective
            running of your club. In the event of an emergency, these details are essential.

Name:
Age:
Date of Birth:


Address:


Post Code:
Medical conditions or
Allergies:
Home (
Mobile (
Parent / Carer E-Mail
Address:

     Please make your payment by Thursday 24th September, failure to do so will mean that your
        child is not covered by insurance and will therefore not be allowed to continue training
                                     Juniors (Under 15)

           Subscription                    Annual                           £45.00




                              Emergency Contact Details (Next of Kin)
Name:
Relationship:


Address:


Telephone (

       We require this data in order to administer the club and register you with the necessary
    governing bodies and leagues. We do not pass your personal information to any third party or
      use it for any other purpose without your consent but cannot say that your details will not
    become known to others through fellow members or their friends. We store this information in
       the club's data base. We will also use these details to contact you about club events and
    functions and to send administrative messages. We will also be using photo's from games and
            training sessions on our web site and for general PR and advertising purposes.
                           Please tick the boxes below to give your consent

I   agree for my childs data to be stored by Newmarket Hockey Club                           o
I   do not agree for my childs data to be stored by Newmarket Hockey Club                    o
I   agree for my childs photo and name to be used for publicity purposes                     o
I   do not agree for my childs photo and name to be used for publicity                       o

				
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