Beginners Course Registration Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date of Course (select drop down box for other dates) *17/08/2024 - 08:00 hrs - 18:00 hrs28.09/2024 - 08:00 hrs - 18:00 hrsA temporary membership is required to undertake any of the above listed Beginners Courses to provide the relevant insurance cover included as part of your course /membership fee *Yes I agreeNo I do not agreePlease note that if the candidate does not agree to this then participation in the course will not unfortunately be possible as temporary membership to the club is a prerequisite for the coverage of insurance during the courseTitle *MrMrsMsOtherIf Other, please specifyName *FirstLastDate of Birth *Full Address *Personal Email *Work EmailContact Number *KPRA Number (If applicable)Please confirm if left or right eye dominant (if known) *Left EyeRight EyeUnknownPlease confirm if Left or Right hand dominant *Left handedRight handedAmbidextrousAdult or Junior (Under 18) *Adult (over 18 years of age)Junior (over 10 years and under 18 years)What category of candidate are you? *Kent Police Officer or Member of StaffKent Police Officer or Member of Staff - Family MemberMETPOL Officer living in KentMember of the Public - NON PoliceRetired Kent Police Officer or Member of StaffPlease confirm whether you have attended previously a Kent Police Archery Have-a-go course in the last 12 months *YesNoPLEASE NOTE: Please ensure that you select the correct GoCardless payment amount. The normal Beginner course Fee is £40.00 - Only candidates who have taken part in a Kent Police Archery Club Have-a-Go Day, may claim a discount and only pay the £30.00 discounted fee. I am paying for the course by the method detailed below: *GoCardless PaymentBACS Banking paymentPlease provide a "passport type" head & shoulders shot image of the candidate *Yes I have sentNo I have not yet sentPlease be aware that a passport type image is required for the temporary membership to the club for the course you are undertaking for insurance purposes. Failure to supply and image will result in being unable to undertake the course - An image can be taken as a selfie on a mobile phone and that image then sent to kentpolicearcheryclub@gmail.comSubmit