Membership form: People of Colour Paddle
This is the form to sign up to become a member of People of Colour Paddle. Virtual Membership is available to those who would like priority access to events and Full membership is for Merseyside based folk only to ensure equity. The club is open to young people if their parents join and attend paddles with them. 
Name *
Email *
Pronouns *
Are you a person of colour? Our membership is open to everyone, but we would like to know about our membership to ensure equity. *
Please let us know your ethnicity if you are comfortable sharing this information
Address *
Phone number *
Please provide accessibility (physical or learning/neurodivergence), mobility requirements you may have  *
Please provide any important medical information we should be aware of if you paddle with us. For example: Asthma, Diabetes, Epilepsy or any injuries that may mean physical activities can be a challenge.  *
Date of Birth *
MM
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DD
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YYYY
Details of emergency contact/guardian (As applicable). Please add their full name, their relationship to you and phone number in case we need to reach them. *
Please choose the membership option that best applies to you (all fees run for 12 months) *
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