BiG Coaches Registration Form

Name

First Name

Last Name

Email address (if 18 years old and older)

Please do not provide email address if under 18 years old

Date of birth

YYYY

Are you under 18 years old?

If under 18, name of parent / carer

First Name

Last Name

if under 18, please provide parent / carer email adress

If under 18, please provide contact number of parent / carer

Full postal address

Do you have any disabilities or allergies?

If yes, please provide accurate information. Please also detail any information that BiG needs to be aware of to make your experience engaging in this programme the best it can be

Are you prepared to read the risk assessment?:

Do you agree to keep away from the venue or work if you show any symptoms of coronavirus / other illnesses?:

BiG C.I.C will be recording all of the Programme sessions for training and marketing purposes. We will use recordings to edit and produce marketing films and material and create still shot images, and will post on the BiG C.I.C. website, other social media platforms, and publish in promotion / training material. Please select all the following options where you consent to appear in video clips and still shots for this purpose:

If you are under 18, we will need consent from a parent / carer

Website

Instagram

Twitter

Facebook

Youtube

Promotion material

Training material

All the above

Bank details if required

If you have been offered paid work, please provide details

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