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Parent or Carers Phone Number *

Parent or Carer's Name *

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Date of Birth *

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School Year Group E.g Year 3 *

Emergency Contact Name *

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Medical Information *

Emergency Contact Phone *

Other Information *

Please read our code of conducts information shared in the Welcome Pack

I have read and agree to the Parents' and Players' Code of Conduct policies *

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I have read the Welcome Pack and acknowledge the requirements of setting up a DD for 18.50 per calendar month after my 4th session. Bank details Natwest Chorley Infernos SC: 010194 A/C 20781075 *

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I agree to Chorley Inferno Netball Club using photographs or film of my child on the Club's website/Facebook/Twitter sites *

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Parent/Carer e-Signature *

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Chorley Inferno Netball Club will not share any of your information without your consent. Chorley Inferno Netball Club will only utilise your information and/or images on the Club's official pages and those of the Club's official partners, for the purpose of netball participation. If you have any concerns please speak to your child's coach or contact us here

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