Beginners – Milton Keynes Archery Club

Archer Details

Name *

Preferred Name

Email Address *

Phone *

Street Address *

City

Postcode

Date of Birth

Gender

Pronouns

Height *

Handedness *RightLeft

Medical Declaration *Do you have any pre-existing medical conditions/medications that may impact on your ability to shoot safely. These could include problems with sight, hearing, physical limitations, missing limbs, previous injuries & long term conditions. Archery is a fully inclusive sport and we can accommodate most differences however we need to know in advance of the course to prepare suitable coaching, equipment and volunteers. Failure to disclose could impact on your ability to complete the course and could invalidate your insurance to participate. Please detail below.YesNo

Medical

Emergency Contact Details

Contact listed must not be another participant on the course

Name *

Relationship *

Street Address *

City

Postcode

Phone *

I am happy to be photographed or filmed during sessions. *YesNoMilton Keynes Archery Club may wish to take photographs or video of attendees participating in archery activities for the purposes of promotion and marketing of the club. Please confirm below if you consent to this. (You may opt out or retract consent at any time and you may bring it to the club’s attention should you wish to object to your photograph being taken on any specific occasion).

I understand my attendance will be recorded for insurance purposes and in case of an emergency and I consent to my personal information submitted on this form being stored safely by Milton Keynes Archery Club. *YesNoMilton Keynes Archery Club retains attendance records and associated contact details for insurance purposes & also in case of an emergency, such as a fire alarm at the range. All club records are retained within GDPR.

I am happy for my mobile phone number to be used to add me to the beginners course WhatsApp group. *YesNoFor each beginners course, we set up a temporary WhatsApp group to allow our coaches to communicate with attendees, to provide additional information during the course and to provide attendees a space to ask questions and discuss the course content.

Beginners Course

Archer Details

Emergency Contact Details

Contact listed must not be another participant on the course