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new player - registration form

Oct 25 at 11:42 to Jul 31 at 10:43

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Harbury Lane, Leamington Spa, Warwickshire

player registration - £0.00

Total £0.00

Full name of Attendee

Date of Birth

Post Code

Age Group

School

School year

Medical Information

Do you consent to that the attendee may receive medical treatment in an emergency?

Does the child have SEND?

Any Allergies?

Any Medical Conditions?

Any Additional Support Requirements?

Any Disabilities?

Any Learning Difficulties?

Any Special Dietary Requirements?

Any Special Requirements?

Guardian Contact

Name

Phone

Additional Emergency Contact

Name

Phone

Consents

Do you consent for us to photograph the attendee?

Do you consent for us to use those photographs on social media?

Would you like to opt into offers from the Club?

You can opt out at any time

Note that tickets will only remain in the cart for up to 30 minutes after they were added. If they are not purchased within that time then they will be removed.

View Cart

Leamington Lions

Total £0.00

Medical Information

Guardian Contact

Additional Emergency Contact

Consents

Social Sharing

Are you sure you want to proceed?