Bloods Player Registration

Parent / Guardian First Name

Parent / Guardian Last Name

Phone/Mobile

Address

Parent / Guardian Address

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Address

House Number and Street Address

City / Suburb

State

Post Code

Emergency Contact First Name

Last Name

Phone/Mobile

Relationship to player

Authority to collect player from camp

Yes

Authorised to administer player medication

Yes

Authorised to consent to player medical treatment

Yes

Are you interested in after camp care for kids? This additional service would take care of your critters until 6pm.

Yes

If there is something you think we left out or anything we can improve upon, let us know here (optional)