Switched On Member Signup | Switch The Play

If you are under 18, please ask your parent or guardian to complete this form, with their contact details, but your information. We will then contact your parent/ guardian to set up a call with you both, to discuss our support offers with you. This service is for people aged 16+

First Name *

Last Name *

Email Address *

Phone Number *

What is the name of your next of kin? *

What is the phone number of your next of kin? *

Date of Birth *

What is your home postcode? *

Sport *

Please let us know a few dates in the next 2 weeks to have a Discovery Call with a member of our team. This will be to discuss the support options available to you. *

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I am happy for Switch the Play to contact me and store my details on a secure database in line with their Privacy Policy.

Are you a robot? *

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