HY-TECH Tigers Membership Registration Form

SECTION A: ATHLETE DETAILS

First Name:

Surname:

Address:

Postal Address:

Postal Code:

Telephone:

Mobile Number:

Date of Birth (DD/MM/YY):

Email Address:

School Attending:

Preferred Events:

SECTION B: PARENT/GUARDIAN DETAILS

First Name:

Surname:

Address:

Postal Address:

Postal Code:

Telephone:

Mobile Number:

Email Address:

SECTION C: ADDITIONAL SUPPORT

Please detail any disability or additional support you may require:

SECTION D: MEDICAL INFORMATION

Please detail any important medical information:

SECTION E: EMERGENCY CONTACT DETAILS

Emergency Contact 1 Name:

Emergency Contact 1 Number:

Emergency Contact 2 Name:

Emergency Contact 2 Number:

SECTION F: PHOTOGRAPHY & VIDEO CONSENT

Hy-Tech Tigers Track Club recognises the need to ensure the welfare and safety of all young people in athletics...

Parent/Guardian Consent:

Signature:

Date:

SECTION G: CLUB PRIVACY STATEMENT & COMMUNICATION PREFERENCES

Hy-Tech Tigers Track Club takes the protection of the data that we hold about you as a member seriously...

I would like to receive Information via email...

I am happy to receive communications via SMS

I am happy to receive communications via WhatsApp Messenger

SECTION H: DATA SHARING WITH CAYMAN ISLANDS ATHLETICS ASSOCIATION

When you become a member of or renew your membership with Hy-Tech Tigers Track Club, you will automatically be registered...

SECTION I: ATHLETE/PARENT AGREEMENT

By returning this completed form, I confirm that I have read and understood the privacy statement...

Signature:

Print Name:

Date:

Volunteer Information

Name:

Phone Number: