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 Data Protection 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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