Birmingham Swifts membership form 2019

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* 1. Your name & email contact:
(required to register you as a member and include you on our mailing list).

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* 2. Your date of birth, address & contact telephone number:
(to allow us to register you with England Athletics where required).

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* 3. Your emergency contact name, relationship to you & their contact number:
(To be used only in the event of an emergency and with your permission where possible).

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* 4. Your gender identity (optional):

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* 5. Is your gender identity the same as assigned at birth (optional)?

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* 6. Your sexuality (optional):

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* 7. If you are a member of any other running clubs or groups, please let us know, including your England Athletics number if known:

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* 8. How did you find out about Birmingham Swifts?

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* 9. Do you have any significant medical condition that may affect your ability to run with us?
(All information is kept confidential and only accessible by club committee members).

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* 10. By completing this form, i am agreeing to the members Code of Conduct and the Privacy Policy available for review on the website www.birminghamswifts.co.uk .
From time to time we may use images taken at our events for publicity and I agree to this.
I accept that Birmingham Swifts LGBT Running Club will not be held liable for any injury, loss or illness resulting from my participation in Club events and that I run at my own risk.
I agree to Birmingham Swifts using my information reasonably in the management of the club and to contact me as required.

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