Please sign my child up to the Summer Netball Course at a cost of £290.00 (including VAT). By ticking this box I agree to the terms and conditions.required

Please tick the small box below

Child's Name

Firstrequired

Lastrequired

Child's Date of Birthrequired (mm/dd/yyyy)

Which of the following most accurately describes your childrequired

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Child's Current Year Grouprequired

Child's Current School required

Parent Name

Titlerequired

Lastrequired

Emergency Contact Number for Parentsrequired

Address

Address 1required

Address 2required

Address 3

Countyrequired

Postcoderequired

Select List

Email Addressrequired

Mobile Phonerequired

Current level of playing abilityrequired

Medical Details

Does your child suffer, or have they suffered from fits or epilepsy in any form? *

Yes No

If yes, please give details

Does your child have any known medical conditions or require any extra support?*

Failure to disclose these details may result in cancellation of your child's place on the course.

Yes No

If yes, please give details

Are there any known allergies (including food)?*

Yes No

If yes, please give details

Does your child have any known sensitivity to drugs?*

Yes No

If yes, please give details

Is any medication currently being taken/likely to be taken during the course*

Yes No

If yes, please give details

Has your child ever suffered any serious medical conditions?*

Yes No

If yes, please give details

Is your child fit in all respects for all the usual games at school?*

Yes No

If no, please give details

All staff running our courses are first aid trained. Please tick the boxes below to give your consent to them:*

Instigating emergency treatment where appropriate Administering first aid treatment Administering over the counter medication as appropriate

PHOTOGRAPHY AND DATA PROTECTION

Photographs and film may be taken during the course by our school photographer. Do you consent to photographs being taken of your child which could then be used
1. On internal displays (including clips of moving images) on digital and conventional notice boards within the school premises
2. In communications with the school community (parents, pupils, staff, Governors and alumni) including by email, on the school intranet and by post
3. On the school's website and, where appropriate, via the school's social media channels, e.g. X, Instagram and Facebook
4. In the school's prospectus, and in online, press and other external advertisements for the school

Before submitting this form you should familiarise yourself with the content of Canford's Privacy Notice.

Please tick to confirm that you have read our Privacy Policy.

Do you consent to photographs being taken of your child? No child will be named in any photographs used.*

Yes No

PAYMENT

What method of payment will you be using to pay for this course?required

After you have submitted this form you will be taken through to the next stage of the booking process to make your payment. A timer will appear, payment details should be input and submitted before the timer ends. Once payment has been made you will receive a booking confirmation email.

If you have any questions, please email: sportscourses@canford.com

PLEASE NOTE: PLACES ON THIS COURSE ARE NOT SECURED UNTIL FULL PAYMENT HAS BEEN MADE.