JUNIOR REGISTRATION JUNIOR REGISTRATION FORM Parent/Guardian Details Full Name* Your Email* How many members would you like to register today? 1234 Junior Member #1 Details Full Name* Current Address* Date of birth* What school does the member attend?* Are you a new member? YesNo Gender: MaleFemale Emergency Medical Details In an emergency, do you authorise EFLC to arrange any necessary medical treatment for the member, where contact with an emergency contact has not been possible?* YesNo Does the member have any medical conditions?* YesNo Please describe the medical condition.* Does the member take any medication?* YesNo Please specify.* Does the member have any allergies?* YesNo Please specify.* Junior Member #2 Details Full Name* Current Address* Date of birth* What school does the member attend?* Are you a new member? YesNo Gender: MaleFemale Emergency Medical Details In an emergency, do you authorise EFLC to arrange any necessary medical treatment for the member, where contact with an emergency contact has not been possible?* YesNo Does the member have any medical conditions?* YesNo Please describe the medical condition.* Does the member take any medication?* YesNo Please specify.* Does the member have any allergies?* YesNo Please specify.* Junior Member #3 Details Full Name* Current Address* Date of birth* What school does the member attend?* Are you a new member? YesNo Gender: MaleFemale Emergency Medical Details In an emergency, do you authorise EFLC to arrange any necessary medical treatment for the member, where contact with an emergency contact has not been possible?* YesNo Does the member have any medical conditions?* YesNo Please describe the medical condition.* Does the member take any medication?* YesNo Please specify.* Does the member have any allergies?* YesNo Please specify.* Junior Member #4 Details Full Name* Current Address* Date of birth* What school does the member attend?* Are you a new member? YesNo Gender: MaleFemale Emergency Medical Details In an emergency, do you authorise EFLC to arrange any necessary medical treatment for the member, where contact with an emergency contact has not been possible?* YesNo Does the member have any medical conditions?* YesNo Please describe the medical condition.* Does the member take any medication?* YesNo Please specify.* Does the member have any allergies?* YesNo Please specify.* All registrants agree to the Consent to Take Photos.* YesNoSome Please enter the names of those who do not consent.* All registrants have read, understood, acknowledge and agree to the declaration including the warning, release, and indemnity included in the LWA Disclaimer. All registrants have read, understood, acknowledge and agree to the EFLC Code of Conduct. Pay Now Online (recommended)Pay Later Offline (you will have to get in touch with the club) A copy of your responses will be emailed to the address you provided. Stay Connected Join our mailing list for all the latest updates on games, competitions and more! Name Please enter your name. Email Address Please enter a valid email address. SUBSCRIBE Thanks for subscribing! Please check your email for more information! Something went wrong. Please check your entries and try again.