Student Enrolment Form

If you would like to take one of my Beginners' Courses, start some Archery Coaching, attend one of my Social Archery Events, or if you have been specifically asked to provide your details, then please complete the following form:

Your Details:

Full Name:   
Preferred:
Sex: Male   Female   
Date of Birth:   
 

Contact Details:

For juniors (17 and under) contact details can be for yourself or a responsible adult.

Details for: Self   Other Responsible Adult  
Your Name:  
Relation to Student:  
Address:   
    
 
Post Code:   
Home Phone:
Mobile Phone:
Email:   

Whilst archery is a very safe sport when performed correctly, as with any activity accidents may happen, even non-archery related. Please supply name and phone number of someone to be contacted if needed:

Emergency Contact:   
Emergency Phone:   
 

Equipment Selection:

To enable us to select the appropriate equipment for the student, please provide the following details:

Left/Right Handed?: Left   Right   
Strong Eye [*]: Left   Right   
[*] Strong Eye: Which eye do you use to look through a telescope?

Your Height:Feet Inches
Arm length: Fingertip to fingertip with arms held out horizontally to each side Measure   

 

Health Declaration:

Please indicate any health conditions that your coach should be aware of.

Eg. heart condition; asthma; diabetes; epilepsy; arthritis; conditions affecting joints/muscles;
severe mental conditions; physical limitations/wheelchair user; etc.

If you don't have any health issues please enter: None

Health Declaration:   
 
 
 
 
These will not stop you from shooting. We just need to be aware for your wellbeing.
 

Consent Section:

Archery training may require some limited appropriate physical contact eg. to guide position of arms and fingers, or adjust your posture. Your coach will explain the need for any such contact.

Agree to contact?: Yes   No   

Please inform your coach if you feel uncomfortable about this.


We would occasionally like to take photographs during your archery sessions. These may be used for our website, Facebook page or advertising of Targeting Archery.

Agree to photos?: Yes   No   

For juniors, we won't put full names on any public media, only first names (or none at all).


Some areas of the outside range are uneven with possible small pot holes. Care must be taken on the range at all times.

No liability or claims against Targeting Archery will be accepted in the event of injury or occurring due to ground conditions.

Accept?: Yes   No   
 
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