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Shropshire Flyerz Registration Form
Your information will be used for monitoring and evaluation purposes only and will be stored on a secure database only accessed by trusted staff members of Access Sport. To view our full data protection policy please visit the Access Sport website at
www.accesssport.org.uk/gdpr
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* Indicates required question
Name of participant:
*
Your answer
Date of birth:
*
MM
/
DD
/
YYYY
Gender:
*
Female
Male
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Postcode:
*
Your answer
Do you have an impairment or long-term health condition?
*
No
Visual Impairment
Hearing Impairment
Learning Disability
Mental Health Condition
Autistic Spectrum Disorder
Physical Impairment
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Other:
Choose one option that best describes your ethnic group or background:
*
White
Black
Asian
Mixed
Other
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I give photo permission as the parent / carer / guardian (under 18 only).
Yes
No
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I give photo permission as the participant (over 18 only).
Yes
No
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