JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Data Removal
This form is for those that are no longer a customer of Brookes Sport facilities and wish for personal data to be removed from our records.
**Please note**
This form is not to cancel any existing memberships. To cancel the Direct Debit instruction please contact your bank directly.
Always ensure you receive confirmation as Brookes Sport are not responsible for future payments received.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First name of the registered member
*
Your answer
Surname of the registered member
*
Your answer
Membership ID if known
Your answer
Authorisation confirmation
*
I confirm I am no longer a customer of Brookes Sport facilities and wish for my personal data to be removed from your records. I understand if I use the facilities in the future I will be asked to provide the data.
Please remove my personal data
*****OFFICE USE ONLY****PROCESSED DATE
MM
/
DD
/
YYYY
****OFFICE USE ONLY ****PROCESSED BY
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Google@Brookes.
Report Abuse
Forms
