WELCOME TO THE 2020 SURREY RAMS SPRING/SUMMER ZOOM LIVE ONLINE REGISTRATION FORM

PLEASE ENSURE YOU HAVE READ AND SIGNED THE LIVE STREAM PRACTICE CONSENT FORM BEFORE COMPLETING THIS ONLINE FORM. (LINK BELOW)

Once you complete forms and press submit, all data will be sent to the Rams online Registration database. If parents have any questions please feel free to email admin@surreyrams.net, or Coach Lekan Popoola: lekan@surreyrams.net

ONCE THE LOCKDOWN MEASURES HAVE BEEN RELAXED, THE CLUB WILL MOVE TO RUNNING CLUB SESSIONS ON THE FOLLOWING TIME TABLE BELOW

Please select player's age group *

U10 boys (year's 4, 5 ,6 &7)

U12 boys (School year's 6& 7)

U14 boys (School year's 7, 8 & 9)

U15 boys (School year's 9 & 10)

U16 -U18 boys (School year's 11, 12 and 13)

Is Parent/Guardian able to pay weekly session fees *

Zoom Live sessions are £10.00 per week (£2.50 per day) Please note sessions are charged weekly not daily.

Yes

Please enter player's first name *

Please enter player's last name *

Gender

Male

Female

Please enter player's DOB *

(dd/mm/yyyy) for example: 01/01/2001

Please enter player's address *

Country

City

Zip code

Parents/guardian Contact information (Emergency contact details)

The information below will be used in case of an emergency of if parent/guardian needs to be contacted

Please enter parent/guardians full name *

Please enter home telephone number for parent/guardian *

Please enter parent/guardian mobile number *

Please enter parent/guardian email address *

Please select method of payment for Surrey Rams Summer sessions

Please note that all payments are due before the start of the Summer sessions. Players will not be able to participate until payment has been made.

Option 1: Online Bank Transfer

Option 2: Cheque payment

Option 3: Cash payment

Option 4: Paypal (Please note if paying via paypal there is handling charge f £1.60)

PLEASE READ

* Neither the mobile number nor the email should be that of the player– this could make children vulnerable and is considered poor practice. For a child/young person these details should be those of the parent/carer. If player is over 18 the above is not applicable.

Ethnicity *

In order to help the club monitor its membership please will you tick one of the following boxes to identify your ethnic group/origin..

Disability

The Disability Discrimination Act 1995 defines a disabled person as anyone with ‘a physical or mental impairment, which has a substantial long-term adverse effect on his or her ability to carry out normal day-to-day activities’.

Does the player consider himself to have a disability? *

Yes

If yes, what is the nature of players disability?

Medical Information

Please detail below any important medical information that our coaches/ Junior Coordinator should be aware of (e.g. epilepsy, asthma, diabetes etc.)

Terms and Condition

SAFETY– Regulations for the safety and comfort of attendees must be observed. PERSONAL LOSS OR INJURY – The Surrey Rams Basketball Club are under no liability whatsoever in respect of any personal loss or injury any attendee may sustain. BEHAVIOUR– Surrey Rams Basketball Club reserve the right to send home anyone who demonstrates thoroughly unreasonable behavior SESSION FEES – AS WE ARE MAKING A COMMITMENT TO COACHES AND FACILITIES THE ABOVE FEES ARE NON REFUNDABLE. (however if player has not attended any sessions, refund is available)

Declaration *

By returning this completed form, I agree to my son/daughter/child in my care taking part in the activities of the club. By returning this completed form, I agree to adhere to the code of conduct for parents/carers and my child shall adhere to the code of conduct for junior members. I understand that I will be kept informed of these activities – for example timing and transport details. I understand in the event of injury or illness all reasonable steps will be taken to contact me, and to deal with that injury/illness appropriately.

I agree to my son/daughter in my care taking part in the activities of the club

I do not agree to my son/daughter in my care taking part in the activities of the club

Surrey Rams Promo declaration

To comply with the Data Protection Act 1998, we need your permission before taking any images of your child for future advertising and promotion purposes. If you do not wish your child’s photograph to taken or used in any promotional material please tick this box

Please select one of the following regarding promo declaration *

I DO give consent for my child's picture/video to be taken and used for Surrey Rams promotional purposes on websites, social media, flyers, ect.

I DO NOT give consent for my child's picture/video to be taken and used for Surrey Rams promotional purposes on websites, social media, flyers, ect.