Please enable JavaScript in your browser to complete this form.Student Information - Step 1 of 4Student Name *FirstLastDate of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NextParent/Guardian Name *Primary Contact Phone Number *To be used in case of emergencyParent/Guardian/Student Email *EmailConfirm EmailThis email will be used on the godartspro.com portal for linking your child to the academy.Alternative Parent/Guardian NameFirstLastAlternative Parent/Guardian NumberWe will use this number if we are unable to contact you using the primary numberAlternative Parent/Guardian EmailCorrespondence Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodePreviousNextIs the student taking any prescribed medication? *YesNoPlease give details of medication *Do you give permission for the student to self-administer any required medication? *YesNoDoes the student suffer from any allergies PDA should be aware of? YesNoPlease give details of allergies *Are there any accessibility adaptations PDA should be aware of regarding the student? *YesNoPlease give details of accessibility requirements *Any other relevant information?PreviousNextPhotography ConsentWe continually update our public sites with images of the academy and students. We seek permission from all parents and guardians to use these images as desired. If you do not wish your students image to be used please confirm this so that PDA may respect your wishes. As the parent/guardian of the student named previouslyI DOI DO NOTagree to my child's photographs being used on the Portsmouth Darts Academy website or social media sites/apps.DisclaimerWhilst every effort has been made to make our Academy a safe and welcoming environment we have to make you aware that injury and accidents can happen. As a member of the PDA we would like to point out that we are not liable in any way for any injuries to anyone, this includes spectators. It is the responsibility of the parent/guardian to ensure that their child is safely delivered to and collected from the venue. Please inform the coach if anyone other than the parent/guardian is collecting. Parents/guardians should make the coach aware of any concerns regarding the health/fitness of their child. All academy representatives will take as many precautions as possible to ensure that the welfare of the child is always the first priority. The academy does not insure any player against personal injury sustained through playing, training, or travelling to or from such activities. All players and parents/supporters are to conduct themselves in a proper manner both on and off the oche. Codes of conduct will be distributed to each student in a separate document. The student and the Parent/Guardian named above agree to abide by the rules of behaviour of this academy. They also agree to support the aims of the club, pay any due subscriptions on time and take care of and return any club kit or equipment on request. Any concerns / complaints should be raised in accordance with the academy director in the first instance.GDPR Agreement *I consent to the PDA storing this submitted information for use within the academy only. I understand that at any point I can request this information be removed from use by the PDA.ConfirmationI understand that the venue has public liability insurance. It is the responsibility of students or their parents/guardians to arrange any additional insurance against personal injury I hereby confirm that my child is in good health and that I consider him/her capable of taking part in academy activities. I have completed medical details and consent that, in the event of any illness/accident, any necessary treatment can be administered to my child as basic first aid. By clicking submit you confirm that all details are entered correctly and that you are happy to sign your child up to the academyPreviousEmailSubmit