Canterbury Kings Basketball Registration Form Step 1 of 3 0% CHILD'S NAME* First Last D.O.B.*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender* Male Female Prefer Not To Say Medical Conditions | Allergies* Parent | Carer Details* Prefix MrMrsMissMsDrProf.Rev. First Name Last Name Relationship to player* House Number | Street Address Line 2 City Post Code Email Address*Please do not copy and paste email address. Enter Email Confirm Email Contact Phone Numbers*Please note; we must be able to contact you on one of the numbers provided in the event of an emergency. First Contact Number Contact Phone Numbers*Please note; we must be able to contact you on one of the numbers provided in the event of an emergency. Second Contact Number Photography & Videography Consent*As part of Canterbury Kings Basketball Club activities, photographs and video recordings may be taken during training sessions, matches, tournaments, and club events. These images and recordings may be used for: Internal club purposes; including performance analysis, coaching, match review, and end-of-season presentations or awards. Club promotion; including publication on the club website, social media channels, newsletters, and other marketing materials. Match recordings; which may be shared via the club’s YouTube channel or other approved online platforms. By signing this form, you acknowledge that you have read and understood how photographs and videos may be used and give consent for the player named on this form to be photographed and/or recorded for the purposes outlined above. I GIVE Consent for the above photography & videography I DO NOT give consent for the above photography & videography Please see the Protection of Personal Data section of The School website for our Privacy Policyhttps://www.kings-school.co.uk/policies/Collection and Pick-Up Arrangements*Please indicate how the player will leave the session: My child has permission to walk home independently (aged 14+) My child will be collected by a parent/guardian listed below My child may be collected by another responsible adult listed below (coaches must be made aware before the player leaves) Parent / Guardian Details*Another Responsible Adult Details*Centre Parking* By ticking this box, I understand that The King’s School Sports Centre operates with a camera controlled car parking system, therefore on arrival i must visit the touch screen terminal in Reception to register my vehicle details. Visitors must enter their full, correct vehicle registration into the terminal to obtain a 2 hour parking permit. If you expect your visit to be longer than 2 hours, please speak to a member of our Reception team and they will be able to help you extend your parking session. Failing to comply with the terms & conditions and not registering your vehicle whilst visiting the facilities, will result in a parking charge of £100. Please be aware The King’s School will not intervene with penalties issued. Please see car park signage for terms and conditions. Parent | Carer Declaration*By signing this form, I agree to my knowledge that my child has no special care needs, dietary requirements, allergies or medical conditions, other than those declared on this form, that could affect their safety whilst at the Centre. I understand that in the event of an injury, illness or other medical needs, all reasonable steps will be taken to contact me (on the numbers provided) in order to deal with the situation appropriately. I understand that I must inform the Centre of any changes to the information provided on this form. Please be aware, all information provided on this sheet will be used for Sports Centre purposes only. Please tick here as your signature of declaration.
