Birmingham Unicorns CC - Membership Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

First Name *

Second Name *

Date of Birth *

YYYY

Phone Number *

Email address *

Address Line 1 (House No. & Street) *

Address Line 2 (Town/City) *

Post Code *

Which of the following types of membership would you like? *

Full playing membership (£35/year)

Full playing membership (concession inc unwaged, students, universal credit - £10/year)

Family/Household Social Membership (£20/year)

Non-playing Social Membership (£10/year)

*Optional Question* Do you have any disabilities or medical issues we need to be aware of? (e.g. asthma or food allergies). This information will be used by the club so we can offer support for accessibility or in medical emergencies.

Would you like to sign-up to our mailing list? *

Yes please!

No thanks

Required

Once a fully paid member, would you like to be added to the Birmingham Unicorns WhatsApp group? *

Yes please!

No thanks

Required

Please confirm you have read the Unicorns policies and procedures https://www.bhamunicorns.co.uk/policies *

I can confirm I have read the clubs policies and procedures documents

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms