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Social Membership Registration Form

    This form is for updates of social membership. Those participating in the Club's sporting activities should fill in the sporting registration form for the appropriate age.

    Please be aware of the Club's Codes of Conduct and Policies page, and in particular the Code of Conduct for Members and Guests.

    Details on this form will be held securely and will only be shared according to our privacy policy. We will hold the information until one year after your membership expires, or when you tell us you no longer wish to be a member.

    Have you have filled in a Walmley Cricket and Sports Club on this site for yourself before, and are updating your details? yesno

    We will email you a copy of the information you fill in, except for the information in fields marked with †.

    Details




    Are you over 18?
    YesNo

    Please supply an email address







    Emergency Contact (Optional)

    Please supply the details of an adult who we can contact in an emergency.





    Special or Additional Needs †

    Please provide information about any issue you may have so that we can determine what reasonable adjustments may be required to your full participation in Club activities


    Do you wish to tell us about any disability, impairment or any other issue or condition?
    NoYes


    Medical Information (Optional) †


    Any allergies
    Not answeringYesNo



    Any other specific medical conditions requiring medical treatment?
    Not answeringYesNo


    Permissions

    Yes, I confirm that I have read, or been made aware of, Walmley Cricket and Sports Club policies concerning:

    Yes, I have read and consent to the Walmley Cricket and Sports Club Privacy Policy.

    Are you happy to be contacted about other Walmley Cricket and Sports Club events and sports? YesNo