Registration Form

Full Name of Player:

Gender:
MaleFemalePrefer not to say

Age:	Date of Birth:

Parent/Guardian's Full Name:

Home Address:

Mobile # (In Case of Emergency):

Email:

Preferred Starting Date:

Playing Preferences: (If any) MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Preferred Time: 8.30 AM9.00 AM9.30 AM10.00 AM10.30 AM11.00 AM11.30 AM12.00 PM12.30 PM01.00 PM01.30 PM02.00 PM02.30 PM03.00 PM03.30 PM04.00 PM04.30 PM05.00 PM05.30 PM06.00 PM06.30 PM07.00 PM

Player's Doctor's Name:

Doctor's Phone Number:

Does the player have any health issues we need to know about? Any allergies or sensitivities? Any medical conditions
(Eg: epilepsy, diabetes etc.) any dietary requirements?

---

Anything else we need to know about your child?

Do you consent for photos of your child to be placed on the Academy website, Social media/or blog?
YesNo