ࡱ> DFC bjbjqq 1ee (HD D 8#7SSSSS$S!>x@>SS%S8SSSS i0""" >>"D M:  Please complete and return as soon as possible with the 80 membership fee (or 50 student fee). Membership Details Full Name of Player ...................... Address ................................................................................. .................................. Post Code ...... Telephone Number E-mail ............................ Date of Birth ............................. Emergency Contact Details Name of Emergency contact (1) (e.g. wife/parent) .................... Contact Telephone No. ................................... Alternative Telephone No. (e.g. Work, Mobile ......................................................... Name of Alternative Emergency Contact (2) .............................. Contact Telephone No. ............................................................................ Alternative Telephone No. (e.g. Work, Mobile .......................................... Medical Details Name of Doctor ... Address of Medical Practice ............................................................ Telephone No. ... It is important that the Club is aware of any medical condition that may be relevant to training or playing activities, or relevant to medical treatment in the event of an emergency. We would therefore be grateful if you could provide details of medical conditions, allergies, treatment requirements, special dietary requirements etc. (Information provided is confidential, and will only be released to qualified first-aiders / medical staff). ....... ... ... Permissions In the event of an emergency, I give permission for medical treatment to be administered to the player named above, subject to any restrictions outlined in the medical information provided. (Delete if permission is withheld). I give permission for relevant membership details (not emergency contact or medical details) to be released to responsible third parties, e.g. name, address & age, to secure retail discount. (Delete if permission is withheld). I give permission for photographs of the player named above to be placed on the Club's website or in the media, on the understanding that names and contact details will not be revealed. (Delete if permission is withheld). Signed ............................................. Date ..................... I have still to/have already submitted the ...... membership fee (Delete as appropriate)     Mackie Seniors 01-07-2011 MACKIE ACADEMY FORMER PUPILS R. F. C. Senior Section Enrollment Form dexy   ! " 5ABC&'Z]  `vƻƻƻܗܗїܗthd6CJOJQJhd5>*CJOJQJ\hdCJ OJQJhdCJOJQJhd>*CJ OJQJaJ hd5CJ OJQJaJ hd5CJOJQJhd5CJ OJQJhd>*CJOJQJhdCJ OJQJaJ hdCJOJQJ\hdjhdU)dexy Y 8  :   ! 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