Tell us about you - WCCC UK Information form

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Please complete this form so that we can ensure we are providing a safe space for the women of colour group. We are asking for your email address and mobile number so that we can monitor who has access to the group. All data is kept in password protected in accordance with GDPR, and will only be used for WCCC purposes

What's your name? *

Please provide your email so that we can send you links to WCCC Discord & Facebook groups, and keep you up to date. *

Mobile number (only to be used in cases of emergency) *

Where are you based? County/City/town - We can let you know of other WCCC in your area. *

How many years have you been cycling? *

Are you a woman or non-binary person? *

Yes

Required

What are your pronouns? E.g She/her, they/them *

What is your age range? (This info helps us with grant applications)

Under 20

20-29

30-39

40-49

50-59

60-69

70+

Clear selection

Your ethnic background. Which of the following best describes you? (This info helps us with grant applications) *

Black/Black British - African

Black/Black British - Caribbean

East Asian/British East Asian

South Asian/British South Asian

Asian/British Asian - Other

Arab/British Arab

Mixed ethnicity Black/Black British - African

Mixed ethnicity Black/Black British - Caribbean

Mixed Ethnicity East Asian/British East Asian

Mixed Ethnicity South Asian/British South Asian

Mixed Ethnicity Asian/British Asian - Other

Mixed Ethnicity Arab/British Arab

Mixed/Multiple Ethnicity - Other

Other:

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