Pitshanger Park Consent

Player's First Name*

Player's Surname*

Player's Date of Birth*

Email*

Please provide details of any ongoing health conditions, allergies and comment about your/your child's general level of fitness

I want to receive emails from Will to Win about upcoming courses, promotions and special events. Please be assured that Will to Win will not share your information with any third parties.

I give permission to be involved in any publicity, including photographs and video footage, related to activities organised by Will to Win.

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JUNIOR APPLICATIONS ONLY

Emergency details:

Contact Name

Relationship to Child

Home Phone

Mobile Phone

I give Will to Win permission to apply suntan lotion to my child, if required

I consent for my child to leave at the end of the session without an accompanying parent/carer present

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I confirm I am aware of WTW Terms and Conditions*