New Starter Form
Please complete all the questions on this form.

We are excited for you to become a Stafford Raptor!
Sign in to Google to save your progress. Learn more
Full name *
Date of Birth *
MM
/
DD
/
YYYY
Phone number *
Email *
Post Code *
Ethnicity *
Dodgeball Experience *
Preferred Hand *
Preferred Position *
Required
Fitness *
Emergency contact name, phone number and  relationship to you *
Relevant medical Information *
In the past 4 weeks on how many days have you done 30 minutes of sport and/or physical activity? *
How did you hear about us? *
I understand the personal data on this form (“personal data”) will be used by Stafford Dodgeball for the contractual purpose of registering (or re-registering) and maintaining my membership. I understand that the personal data will be retained by the club for such period as my membership subsists. I understand that I can resign my membership by writing to the club and my personal data will then be erased. I understand that my personal data will also be used for administrative purposes to maintain my membership including club and team administration, registrations, team sheets, referee reports, disciplinary matters, injury reports, transfers, sanctions, permits and for statistical purposes. I understand that if I do not provide my personal data my membership cannot be registered with the club.I have read the important Data Protection Information on the bottom of this form and have given my consent for the club to provide me with updates regarding club activities such as matches, meetings and club events. *
 I give Stafford Dodgeball Club permission to use my image or likeness online or in promotional materials. *
I understand that I can withdraw my consent at any time by writing to the club. I understand my rights under Data Protection legislation, as outlined on the bottom of this form. *
Are you looking to play socially or competitively? *
PLEASE READ:
Medical Declaration
Participating in dodgeball involves certain risks including the risks of physical injuries, damage to property and even death. I hereby certify that to the best of my knowledge I am physically fit, have sufficiently prepared or trained to participate in dodgeball, and have not been advised to not participate by a qualified medical professional.

Code of Conduct
In signing this form, I am also agreeing to abide by the Stafford Dodgeball Club Code of Conduct which is available for me to read on request and understand that I may be subject to disciplinary procedures should I break club rules and regulations.

Data Protection Information
The following Privacy Information is being provided to you as outlined in the General Data Protection Regulation. It is intended to inform you of how the personal information provided on this form will be used, by whom and for what purposes.
Data Controller:
Shaun Grainger
Purpose of processing Personal Information:
The purpose for processing your personal data is that it is necessary for the performance of a contract in order to register and maintain your membership with the club.
Data Processors:
Your personal data can be accessed by certain members of the club committee will be done in accordance with our data protection policy only.
Storage of Personal Information:
Your data will be stored on our private Google account.
Length of Data Storage:
Your personal data will be held for the duration of your membership and it will be deleted by us if you resign your membership.
Subject Access Request:
You have the right to request a copy of your personal data held by the club by contacting the Data Controller. You should receive this information within 30 days.
Personal Data Rights:
You have the right to have your Personal Data updated, rectified, or deleted if you so wish. You have the right to object to your Personal Data being processed and to withdraw your consent to processing - You can do so by contacting us.
Complaints:
Should you wish to make a complaint or report a breach under in relation to your personal data, you can do so by contacting the Information Commissioner’s Office - https://ico.org.uk/global/contact-us/.

Please visit our website at www.stafforddodgeball.com if you wish to contact the committee or view our policies.
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
Google Forms