Participant's first name * |
Participant's surname * |
Participant's date of birth * |
Participant's gender * |
Participant's ethnicity * |
Participant's medical information or disability * |
Which school does the participant attend? * |
Which age group does the participant train with? * |
Participant's player position * |
Does the participant currently play for a football team?
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Parent/guardian's details |
Parent/guardian's first name * |
Parent/guardian's surname * |
Contact email address * |
Repeat email * |
Address line 1 * |
Address line 2
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City/town
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County * |
Postcode * |
Country * |
Emergency contact details
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Emergency contact name and number 1 * |
Emergency contact name and number 2 * |
Price category * |
Photo consent |
Do you give consent for the participant to be photographed at the event/session to be used for future promotional materials? * |
Additional questions |
Have you booked with us before? * |
Where did you hear about us? * |
We want you to know exactly how our service works, why we need your registration details and how we will be protecting your data. Please state that you have read our Terms and Conditions, Data Protection, & Code of Conduct
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We'd love to send you the latest information and exclusive offers about The Albion Foundation and West Bromwich Albion Football Club by email, post and SMS. We'll always treat your personal details with the utmost care and will never sell or share them to other companies for marketing purposes Please let us know if you would like us to contact you by selecting the option below |
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Statement / disclaimer
When your child is arriving at a session they must be escorted into the activity to a lead member of foundation staff for registration. The child will only be released at the end of the activity to a parent/carer unless otherwise stated. They will only be allowed to leave the activity on their own if permission has been given for this. If the person collecting your child changes, then the parent/carer must inform the lead member of foundation staff. |
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If you, the parent/carer are not collecting your child, please enter the full name of the adult collecting.
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In light of government and NHS guidance regarding COVID-19, if the participant is displaying any of the following symptoms such as high temperature, new continuous cough or a sore throat & loss of taste or smell, we request that you notify The Albion Foundation in advance of the session by calling 0871 271 9840 |
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Promotional code |
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