PLEASE TELL US OF ANY CHANGES TO YOUR PERSONAL DETAILS

CHILD 1 NAME	{field:child_1_name_1716285943910}
CHILD 1 DOB	{field:child_1_dob_1716286153974}

CHILD 2 NAME	{field:child_2_name_1716286127231}
CHILD 2 DOB	{field:child_2_dob_1716286179111}

PARENT/GUARDIAN NAME	{field:parent_guardian_name_1716287465705}
MAIN ADDRESS	{field:main_address_1716286426300}
POSTCODE	{field:postcode_1716286438198}

MAIN TELEPHONE	{field:main_phone_number_1716287743448}
OTHER TELEPHONE	{field:other_phone_number_1716287753251}
EMERGENCY TELEPHONE	{field:emergency_telephone_1716286483865}

EMAIL ADDRESS	{field:email_address_1716286487820}

DOCTOR PRACTICE	{field:doctor_s_practice_1716286649446}
DOCTOR NAME	{field:doctor_s_name_1716286664184}
DOCTOR TELEPHONE	{field:doctor_s_contact_number_1716286680973}

I agree that all the details are correct I agree to inform the club of any changes to my details	SIGNED: {field:parent_guardian_name_1716287465705} DATE: {other:date} {other:time}

I confirm that I have read and agree with the AWSC Code of Conduct	SIGNED: {field:parent_guardian_name_1716287465705} DATE: {other:date} {other:time}

Child over 12	SIGNED: DATE:

{other:user_ip}