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Cricklereaders Book Group
This is our adults (over 18) book group. We are accepting new members. Please provide your details below. The group meets every six weeks on Sunday mornings, 1030-1130 at the library.
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Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Date of Birth (you must be over 18 to join)
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MM
/
DD
/
YYYY
Address
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Your answer
Post Code
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Your answer
Mobile
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Your answer
Ethnic Group (for monitoring purposes)
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Choose
White British
White Irish
White Gypsy or other traveller
Other white
White and Black Caribbean
White and black African
White and Asian
Other mixed
Asian/Asian British Indian
Asian/Asian British Pakistani
Asian/Asian British Bangladeshi
Asian/Asian British Chinese
Other Asian
Black/African/Caribbean/Black British African
Black/African/Caribbean/Black British Caribbean
Black/African/Caribbean/Black British Other Black
Arab
Any other ethnic group
What is your sex?
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Female
Male
Prefer not to say
Would you like to join our Signal group? It's used for last minute changes in arrangements.
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Yes
No
Can you help with admin for the group (eg take the register, produce a poster, stuff like that)?
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Yes
No
Maybe
How did you hear about us?
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Newsletter
Word of mouth
Website
Facebook
Twitter
Instagram
Poster in window
other local organisation (eg NW2RA, MapRA)
Other:
Any questions
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Your answer
Send me a copy of my responses.
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