Participant Registration Form

Participant Registration Form

Please complete the form below to register onto SUCF sessions.
Which SUCF session are you attending?
If attending swimming, please select which dates you intend on coming to:
Where did you hear about us?
Your details:
Pronouns
If other, please specify:
Name
Gender
If other, please specify:
Date of Birth

DayMonthYear
Age:
Ethnicity:
Or 'Prefer not to say'.
Are you a parent?
Sexuality:
(If you're happy to disclose this).
Contact details:

* Please provide at least one way we can get in contact in case we need to get information to you e.g. about an upcoming session. This information will not be shared, or added to any groups, unless you wish to be copied in :)
Phone/mobile Number
Format: 00000000000.
E-mail
example@example.com
Address

Address Line 1

Address Line 2

CityCounty

Postal / Zip Code
Emergency contact details

Someone we can contact in case of emergencyEmergency contact's phone number
Other info:
Photo/social media consent?
Do you consider yourself to have a disability? (If yes, feel free to expand below if you wish)
Please tell us about any medical information that we need to be aware of and/or any accessibility requirements.
Any additional comments (for example: any medical conditions/disabilities/injuries that you think we should know about).
Should be Empty: