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Which block would you like to book? * |
Child's First Name * |
Child's Last Name * |
Child's Date Of Birth * |
Child's Age * |
Child must be aged 18 months - 3 years at the time of the sessions starting. |
Child's Gender * |
Child's Ethnicity * |
What is your relationship to the child? * |
Parent/Guardian First Name * |
Parent/Guardian Last Name * |
Address * |
Postcode * |
Primary Emergency Contact Number * |
Secondary Emergency Contact Number * |
Email Address * |
Does your child have any medical conditions? * |
Does your child have a disability? * |
Burnley FC in the Community (BFCitC) is committed to ensuring we have the appropriate consent in place from individuals that participate in our community programmes. In accordance with the new General Data Protection Regulation (GDPR) we are required to gain the necessary consent and we are committed to ensuring individuals have real choice and control over your data. |
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Please select the 'Full consent' option if you consent to BFCitC capturing photos/videos of you/your child while you are participating in BFCitC events/activities. You accept that the subsequent use of photos/videos maybe utilised in numerous media platforms, including but not limited to print and digital media used by BFCitC and/or agents authorised by BFCitC. |
Consent for photos and videos
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Your information will not be shared with any third parties and you can unsubscribe anytime from our database by sending your request via email to community@burnleyfc.com. |
BFCitC are committed through trained competent staff, to provide a safe and secure learning environment. Whilst in our care all participants will be fully supervised, however, football / sport is a contact sport and injuries occur through no negligence of our staff or BFCitC. BFCitC takes no responsibility for any injury or worse of any individuals participating in any of our activities. BFCitC are committed to safeguarding children, young people and vulnerable adults and all BFCitC staff hold an enhanced criminal records check (DBS) and appropriate first aid and safeguarding qualifications. The participants or parent/guardian will ensure any participants arrives for BFCitC activities with the correct equipment and appropriate clothing to take part in the activity (for school holiday football courses, Soccer Schools, you will be required to bring along a packed lunch and plenty of drinks - no fizzy drinks please)* |
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I agree to Burnley FC in the Community and/or a 3rd party present to administer first aid to my child. * |
Where did you hear about Bertie Bees? * |
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Promotional code |
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