Individual Registration

To register as an individual for the Play on Ref resource website, please complete the following form.

The cost of Play On Ref membership is £5 per year, for those under 18 you will need parental/guardian consent.

Name

Address

DOB

Gender

Email

Telephone

Emergency Contact Name & Number

Medical Conditions

Course Date

If under 18, do you have parental consent?

Please tick this box to confirm you allow us to store your contact details
 I Confirm

Please tick this box if you would like to receive our annual newsletter
 Yes please

We will never share your information with any third parties. We will only store your information to enable individual learners to access the system and its resources. It is a secure and encrypted server.