Training

BOGNOR & ARUN CHESS CLUB

SECTION 1: CONTACT INFORMATION

* Indicates required field

Full name *

School *

Home address, Daytime and evening phone number and email address *

SECTION 2: MEDICAL INFORMATION AND CONSENT

Please use this space if your child has any medical or educational needs you feel we should be aware of.

Medical and/or special needs *

We may take photographs during the sessions for publicity purposes, including publication on our website. Children will not be named in photographs. If you do NOT wish your child to be photographed, please let us know at the start of the session.

Signed, date and relationship: *

The information will be stored securely and used to keep you informed about events and to contact you in the event of an accident or incident.

Submit

Please return the completed form to John Hargreaves, 16 Hunters Mews, Fontwell BN18 OUW Email: [email protected]

The information will be stored securely and used to keep you informed about events and to contact you in the event of an accident or incident.