Parent / Guardian Name/s:
Parent / Guardian Address:
Does your child have a medical condition? CHOOSE A SELECTION
If YES Please Supply Medical condition details:
Does your child have any allergies? CHOOSE A SELECTION
If YES Please Supply Allergy details: CHOOSE A SELECTION
Does your child have any special needs that our staff should be aware of? CHOOSE A SELECTION
If YES Please Supply Special Needs details: CHOOSE A SELECTION
Select Tuesday Time (Pick one day and one time. Unless paying €259 for two days a week).
Select Wednesday Time (Pick one day and one time. Unless paying €259 for two days a week).
I give permission for my child to be given medical treatment either by way of first aid by a suitably qualified person or by a doctor:
I give permission to bring my child to a hospital or doctor in the case of emergency:
I give my permission for my child to be photographed / filmed for promotional purposes on our website and social media platforms:
Randz Academy cannot accept responsibility for injuries that may occur as a result of academy training or games/matches:
I give Randz Academy permission to store my details confidentially: