Child's First Name * |
Child's Last Name * |
Date of Birth * |
Emergency Contact's Details |
Parent/Guardians First Name * |
Parent/Guardians Last Name * |
Primary Emergency Contact Number * |
Second Emergency Contact Number * |
Email * |
Repeat email * |
Junior Football Club * |
Medical Details * |
Does your child have any disabilities that we need to be aware of prior to their participation in this activity?
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Ethnicity * |
Price Category * |
Photography Disclaimer
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May WWF use image(s) of the participant in printed publicity or promotional literature, to be produced by WWSET, including website stories, social media content, leaflets, posters, newsletters and other display material? * |
Data Protection Disclaimer
The information you supply will be used by the Wycombe Wanderers Sports & Education Trust for administrative purposes within the terms of the Data Protection Act 1998. We shall not supply it to any third parties.
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Would you like to make an additional donation to WWF..?
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