My Details

The following table contains all of the personal information that we hold about you within your website account. This information is for club use only, is never shared externally, and is not visible to anyone but club officials and yourself.

Please ensure your details are correct at all times. You can submit changes using the form below.

Full Name:
Username:
Email Address:
Phone Number:
Emergency (Name):
Emergency (Email):
Emergency (Phone):
Medical Notes:
Known Allergies:
Consent (Media):

Change / Update

Make changes to your personal information by submitting the form below. All fields must be completed. Once submitted, we will update as soon as possible and advise once complete.

Your Name *

Phone Number *

Email Address *

Confirm Email

Date Of Birth *

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Email *

Confirm Email

Known Medical Conditions *

Please provide details on any known medical conditions that you feel the club coaches may need to be aware of for when you are training with us. Enter NONE if there is nothing to mention.

Allergies *

Please provide details of any allergies you may have that you feel the club should be aware of.

Media Consent *

You provide consent to your (or your child, if submitting on their behalf) image being used on all forms of social media, website, where the club has a presence and wishes to publicise club activity. This consent can be withdrawn at any time by resubmitting this form to change your details.