Membership

Please enter the primary contact

Please enter the primary contact

Please enter the secondary contact

Please enter the secondary contact

Please enter the contact details of any other parent/guardian.

Please state any allergies and relevant managment plan

Any other medical condition we need to be aware of?

Any other information the club needs to be aware of?

I authorise the person in charge, to consent to medical treatment as may be deemed necessary for my child, where it is impractical for prior communication with me. I understand that I will be responsible for any costs for such treatment. I agree that the details provided in this profile of my child are accurate to the best of my ability and give the club permission to share the information with the team's coaches and team managers to enable them to best care for my child.

I hereby give my permission for SKOBSC to use my child's photographic image / filmed image in its publications (SKOBSC Newsletter, St.Kevin's College newsletters and publications, Social Media and other forms). Individuals will never be named without specific consent.