Sports Centre application
Children’s sport
Child’s details
Title: First name:
Surname:
Date of birth:
DD/MM/YY
Address:
Postcode:
Medical requirements:
Signed: Date: Receipt no. (ofce use):
Application for (tick where appropriate):
Tennis
Swimming
Golf
Holiday programmes
Membership* ______________________
*A child membership is only available when a full adult membership is in place.
You must conrm a primary member in the section below to be able to purchase a child membership.
I give permission for photographs and video clips to be taken of my child during our classes. These will only be
used for the purposes of University of Stirling Sport promotional work and will not be shared with any other party.
Marketing
I would like to stay in touch and receive
marketing information from University of Stirling Sport.
My contact preferences are by:
Email
Text
Direct mail
Phone
Activity category
I wish to link this child’s application with an account already held with University of Stirling Sport. Please link
this application to:
Member name: Membership card no.:
Emergency contact details
Full name: Relationship to child:
Telephone (home):
Telephone (mobile):
Email:
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