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:

Tuesday 23rd JanTuesday 30th Jan
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?*

YesNoPrefer not to answer
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
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?*

YesNoAsk me on the day
Do you consider yourself to have a disability? (If yes, feel free to expand below if you wish)

YesNo
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: