CTRA Registration
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Please fill out the form below as completely as you can then click 'Submit'.
First Name
*
Enter your First Name
Last Name
*
Enter your Last Name
Title
*
Mr.
Mrs.
Ms.
Miss.
Other
Select Mr, Mrs, Ms, Miss or Other
Email Address
*
Enter your Email Address
Home Address
*
Enter your current Home Address
Home Phone
Enter your Home Phone number
Mobile Phone
Enter your Mobile Phone number
Date of Birth (if under 18)
-DD-
01
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-MM-
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02
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-YYYY-
2003
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2015
2016
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2019
2020
2021
Enter your Date of Birth (if under 18)
Archery GB (GNAS) Member No.
If you are already an Archery GB member then please supply your number
Class of membership applied for?
*
(A) 1 Adult
(B) 1 Junior
(C) 2 Adults
(D) Concession
(E) 1 Adult & 1 Junior
(F) 1 Adult & 2 Juniors
(G) 2 Adults & 1 Junior
(H) 2 Adults & 2 Juniors
(I) 2 Adults & Juniors (siblings)
Please provide an additional contact number (+ name & relationship) in case of emergency (e.g. illness or, in the case of a junior, in the rare event a session ends prematurely).
Please state any known medical conditions which may affect you or your child during an archery session.
Do you or does your child wear a “Medical Alert” item?
No
Yes (bracelet)
Yes (necklace)
Yes (other)
Please state your preferred course of action should the above medical condition require.
Do you or your child need special drugs or equipment?
No
Yes
If Yes to the above, please give details.
Do you, or does your child, to the best of your knowledge, have any allergies or are/is allergic to any medication?
No
Yes
If Yes to the above, please give details.
In the very rare event that any minor First Aid may be required for you or your child, do you consent to this being administered by the Club?
Yes
No
If Yes to the above, please give any restictions.
Do you give consent for yourself and/or your child to be photographed/filmed?
Yes
No
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