Karate New Student Form - Karate Wavendon Gate

Karate Wavendon Gate

New Student 1 Name *

First

Last

Student 1 Date of Birth

Student 1 Medical details

New Student 2 Name

First

Last

Student 2 Medical details (copy)

Student 2 Date of Birth

Parent 1 name *

First

Last

Parent 1 mobile phone number *

Parent 1 email address

Parent 2 name

First

Last

Parent 2 mobile phone number

Parent 2 email address

Please give consent by ticking the boxes below:

GDPR - I will retain these details while attending the club and up to 2 years after. Details will not be shared.
Photographs for social media, website and promotional material.
Add me to WhatsApp group "Karate Wavendon Gate" for urgent messages regarding things like cancellations or change of venue etc.

Where did you hear about "Karate Wavendon Gate"?

Name of person who referred you (if you were referred)

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