Please state if there are any other medical details that you feel are relevant
Before signing please read this: In the event of an injury I give my permission and consent to any immediate treatment deemed necessary by a qualified physiotherapist, First Aider or General Practitioner.
I confirm that I have read and understood the Clubs Rules and Codes of Conduct and I promise to abide by them.
I agree to my photo being used in promotional press releases. I understand that NO name will accompany ANY Photo unless specifically authorised in writing and that every attempt will be made by WDFC to ensure that only authorised photographs are taken.
PLEASE RETURN FORM TO:
Club Secretary, c/o 6 Geraldine Road, Malvern,WR14 3PA or email to firstname.lastname@example.org
(UNDER 18 – Form MUST be signed by Parent/Guardian/Carer)