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You will require the Hadleigh Hares AC club code to complete this form. If you do not have the club code please contact Hadleigh Hares AC.

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First name

Last name

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Club code What's this ?

Date of birth

Sex

Contact Details

Address 1

Address 2

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Postcode

Mobile No.

Phone No.

ICE Details ( I n C ase of E mergency )

Contact Name

Contact Number

Alternative Contact Name

Alternative Contact Number

Medical Conditions you wish Hadleigh Hares AC to be aware of

In case of emergency, this information will be visible to club admins with member, organise, or training permissions, and to leaders and leader supports of the training groups you belong to. Please only provide information relevant to your participation in Hadleigh Hares AC activities. If you have any concerns about sharing this information, contact Hadleigh Hares AC directly.

Once you have registered for a connectMyClub account, you can withdraw your consent for connectMyClub to store your medical notes at any time, and doing so will delete them. If you have not yet registered and wish to have medical notes you've submitted deleted, contact connectMyClub via our contact form.

Anything you'd like to ask, or tell Hadleigh Hares AC? (optional)

Spiderbro: Don't change me bro, I'm tryin'a catch some flies!

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