MWF Registration & Consent Form

Player name *

First

Last

Email *

Email

Confirm Email

Birthdate *

Address & Postal Code *

NIF number (VAT number) *

Contact number *

Phone or Cellphone number

Medical Conditions / Medication to be aware of *

Incl. diabetes / asthma / epilepsy / allergies / heart-problems

Alternative Emergency Contact *

In case of an emergency (name & number)

Which language(s) do you speak?

Do you have experience of administering First Aid? *

Extra Comment

Checkboxes *

All information will be treated in the strictest confidence and will remain private and confidential.

If checked, you give us permission to register the information in our (secured) MWF database.

Privacy Policy *