Expression of Interest

Please could we ask you to fill out the following form to express an interest in the West Manchester Dodgeball session? This form does not commit you to anything but provides us with information for safeguarding purposes. Once we have received your form one of our expert coaches will be in touch to confirm your place(s).

Sessions are held every Wednesday at Sunnybank Community Centre, 8LJ, 246 Sunny Bank Rd, Unsworth, Bury BL9 8EH from 5:00 pm - 7:00 pm.

Parent's Name

First Name

Last Name

Parent's Number

Parent's Email

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

How did you hear about us? (Please state name if referred by friend)

What area are you interested in?

Any Medical Conditions

Signature

Data Protection: Here at West Manchester Dodgeball we take your privacy seriously and will only use your personal information to administer your account and to provide the products and services you have requested from us. Please click below for our full Privacy Policy. www.afdodgeball.co.uk/westmanchster-privacypolicy However, from time to time we would like to contact you with details of other events and offers and with information such as newsletters and company updates. We will never pass your details on to any 3rd parties for marketing purposes. We may also, from time to time take photographs for marketing purposes, by ticking the box below you are providing your consent for us to do so. Safeguarding: It is your responsibility to ensure your child is dropped off and collected safely by a parent or guardian from the coach at any of our events (Sessions/Holiday Weeks etc), we will do our upmost to ensure this.

Signed

I can confirm that I agree with the above terms and conditions and by clicking submit I am electronically signing

I agree to the above statement