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Please Complete The Following Registration Form
Participants First Name
*
Participants Last Name
*
Date of Birth
*
School Attended
*
All Saints - Hesketh With Becconsall
Tarleton County Primary
Tarleton Holy Trinity
Mere Brow CofE
Banks St Stephens
Banks Methodist
Other
Current School Year
*
Year 3
Year 4
Year 5
Splitter
House Name / Number
*
Street
*
Postcode
*
Medical Conditions
Emergency Contacts
Main Contact
Full Name
*
Phone
*
Email
*
2nd Contact (if applicable)
2nd Contact (if applicable)
Full Name
Phone
Email
Splitter
Permissions
I give my permission for my email address to be added to the TCFC Newsletter mailing list
*
YES
NO
I am happy for images of my child to be potentially included on the Club Website or in any social media posts.
*
YES
NO
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