Participant Name *

Participant Email

Participant Age *

Address *

Post Code *

Have you curled before? * Select ... Yes No

Please detail the nature of the participants medical conditions/disabilities *

Are you a wheelchair user? * Select ... Yes No

Do you require any additional support/measures to be in place? 

Will you be bringing a helper/carer? * Select ... Yes No

Emergency Contact Name *

Emergency Contact Number *

I consent to photographs / videos on the day (these may be used on social media/website) *

I consent to my details being shared with session coaches *

Where did you hear about this opportunity?

Additional Information you think our coaches may need to know ahead of the session