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Application for members

Name *
Name
Address *
Address
Name of Parent/Carer or Guardian *
Name of Parent/Carer or Guardian
What activities are you interested in? *
KEEN aims to provide for all of the members who turn up for our activities.  However, in order to plan the sessions and to send out appropriate information, we ask that you register your member’s interests below.  Please √ each box that applies.  You may contact us at any point in the future to change your choices.
I consent to KEEN and its agents photographing or filming the member at any KEEN activity or event for promotional or training use, including the KEEN website
Future Communication *
For future communication, including mail-outs regarding upcoming activities, please indicate if you would prefer to be contacted by email or by post (our preferred method is email). Please tick one.
Declaration *
The member will be participating in various recreational and sporting activities offered by KEEN. I release and discharge KEEN and its agents from any and all liability or responsibility for any accident or injury to person or property which may occur during the course of such activities, except for any liability or responsibility resulting from gross negligence or wilful misconduct of KEEN or any one of its agents.
Date of agreeing to the declaration

KEEN keeps records for each individual member regarding aims and goals, coaching hints, dietary requirements and medical information, which allows us to ensure that they are safe and benefitting from sessions 

We urge you to help us keep this information up-to-date by contacting us with any relevant additions or changes.