• If registering more than one person, please enter the name of the lead member first.

• * = Mandatory * Select After School Club Registration Champions Club GBP 44.00 Gymnastics Club - Club Annual Fee - On Target Multisports GBP 10.00

• Please select your class.

• MEMBER DETAILS

• First name*

• Last name

• Gender Select Male Female

• Date of birthDay12345678910111213141516171819202122232425262728293031MonthJanFebMarAprMayJunJulAugSepOctNovDecYear20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924
• Age

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• Please detail any medical information, allergies or injuries that the club should be aware of

• School / College attended

• PARENT / GUARDIAN SECTION

• Parent / Guardian first name

• Parent / Guardian last name

• Home phone number

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• Email address*
• Verify email address*

• Please give additional contact information below (in case of emergency)

• Emergency contact name (2)

• Emergency contact number (2)

• Emergency contact (2) - relationship to member

• DECLARATIONS

• In the event that the above named member is injured whilst in the care of the club: Select I give consent for medical treatment to be administered I do not give consent for medical treatment to be administered

• Photographic Consent
  
  Images of members under the age of 18 will never be identified or named without parental consent and will only be used in accordance with the Clubs child protection/photography policies and Best Practice guidelines.

• Photographic consent Select I consent I do not consent

• I will abide by the Club's constitution, club rules, code of conduct, disciplinary policy, equity policy, social networking and child welfare policy. I understand that if the above named member does not also abide by these rules / codes of conduct / policies that the club may take disciplinary action. Select I agree I disagree

• Date added

• General Personal Data Consent
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• Special Categories of Personal Data Consent
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• By clicking this box you are agreeing to the On Target Multisports terms and conditions
  • I agree

• --QTY--12345 OTM Kit - On Target Multisports Cost £35.00

• Block 3 Gymnastics Club - Tuesday - 4.45-5.45pm - Ages 5-7 - On Target MultisportsCost £44.00

• Block 3 Gymnastics Club - Tuesday - 5.45-6.45pm - Ages 7-12 - On Target MultisportsCost £44.00

• - On Target MultisportsCost £44.00

• Tuesday 2nd April - Tuesday 11th June 2019 Block 4 Gymnastics Club - Tuesday - 4.45-5.45pm - Ages 5-7Cost £28.00

• Tuesday 2nd April - Tuesday 11th June 2019 Block 4 Gymnastics Club - Tuesday - 5.45-6.45pm - Ages 7-12Cost £44.00

• Tuesday 18th June- Tuesday 20th August 2019 Block 5 Gymnastics Club - Tuesday - 4.45-5.45pm - Ages 5-7Cost £27.50

• Tuesday 18th June - Tuesday 20th August 2019 Block 5 Gymnastics Club - Tuesday - 5.45-6.45pm - Ages 7-12Cost £27.50