Junior Matchday Takeover

Junior Matchday Takeover.

On Saturday 9th of March, the Tigers Trust is looking forward to hosting it's Matchday Takeover for Hull City's match against Leicester City.

Please complete the form below as we need a few extra details from yourself!

Name Of Young Person:

Gender:

Date Of Birth:

Age:

Address:

Postcode:

School:

Ethnic Origin:

If 'Other' please specify:

Disability

Does this young person have a disability? Please also include if your young person is undergoing an assessment such as autism:

If yes, what is the nature of the disability? Please include if your child has dyslexia:

Is the young person known or ever been known to be a flight risk?

Medical Details

Please indicate if this young person has any medical conditions or allergies, we should be aware of e.g. Asthma:

Does this young person have any dietary requirements?

If 'Yes' please state below:

Parent / Guardian Details:

Mr / Mrs / Miss / Ms / Other:

First Name:

Surname:

Telephone Number:

Mobile:

If the above-named person cannot be contacted, please give an extra emergency contact name and number and indicate their relationship, e.g. Aunt, neighbour:

First Name:

Surname:

Telephone Number:

Mobile:

Parental / Guardian Consent:

Does this young person have photo consent? Photos may be used for promotion purposes.

If your young person is injured whilst taking part in the activities and you cannot be contacted, is it ok for the young person to receive medical attention?

Parent's name to confirm this:

Get in touch

About