Neilston Men's Group Membership Application

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This form is for recording a member's contact details to allow them to safely participate in group activities.

NB: Your data will not be shared with anyone and will only be used for the purpose of group administration.

Email *

Forename *

Surname *

Address
*

Please enter your full address and post code:

Phone Number
*

Please enter your telephone number:

Emergency Contact
*

Please enter details of someone that can be contacted in case of an emergency (name, phone number):

Notes

Please enter anything that could be useful in planning outings, skills, interests, allergies, etc.

Membership Rules
*

Membership is only available to Neilston residents 18 years of age or older.
You promise NOT to use this to conduct any fraudulent or business activity.

I have read, understood and accepted the rules for membership.

Required

Send me a copy of my responses.

Submit

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