Drumchapel
Cycle Hub

Summer Club Entry form

Child's name

Address

Existing DCH member?

Yes

No

Parent/carer name

Email

Emergency number

Doctor name/number

Please advise of any allergies or existing medical conditions (for example, asthma) or if any medication is required (for example, inhalers)

Please advise of any additional support needs (for example, hearing impaired) or any particular information that would help us support your child (for example, scared of dogs)

Tick to consent to allow the the following:

Photographs (will be used on our website/social media for promotion).

Use of sun cream.

Emergency treatment where required.

Thanks for submitting!

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