St Paul's CE Primary School

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St Paul's CE Primary School

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Fencer's Name *

Last Name *

D.o.B *

/ / ( dd / mm / yyyy )

Gender *

School *

Year Group *

Medical Information

Parent/ Guardian Name *

Email Address *

Phone Number *

Emergency Contact Name

Emergency Phone Number

Photography and Videos *

I give permission for my child to be in any photos or videos which may be used for publicity or training purposes.
I do not give permission for my child to be in any photos or videos.

Waiver and Liability *

I agree to the terms stated in the Waiver &Liability

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