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Minds United FC 23/24 Membership Form
Address: 3rd Floor,
1 Cluny Mews
, London SW5 9EG
Email:
info@mindsunitedfc.com
Website:
www.mindsunitedfc.com
Socials: @mindsunitedfc
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* Indicates required question
Full name
*
Your answer
Date of Birth (format - 24/01/2000)
*
MM
/
DD
/
YYYY
Age
*
Your answer
Are you a resident of the Royal Borough of Kensington & Chelsea? If no, please state which borough.
*
Yes
Other:
Full Postcode ( W10 6RQ )
*
Your answer
Phone number
*
Your answer
Email address
*
Your answer
Ethnicity
*
Choose
White - British (Irish / Scottish/ Welsh)
White - European
White - Any other background
Black - British
Black - African
Black - Caribbean
Black - Somali
Black - Any other background
Asian - British
Asian - Indian
Asian - Bangladeshi
Asian - Pakistani
Asian - Any other Asian background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Mixed - Any other background
Arab
Filipino
Iranian
Kurdish
Latin/South/Central American
Moroccan
North African
Other Middle Eastern
Turkish
Any other ethnic background
Sex
*
Female
Male
Do you consider yourself to have a differing abilities?
If yes, please select all that apply:
*
No
Different Physical ability
Mobility issue
Hearing impairment
Visual impairment
Learning differences
Mental health issues
Prefer not to state
Other…
Required
On acceptance of my application, I agree to abide by all the membership rules of Minds United FC including the FA Respect Code Of Conduct.
My membership of the club shall be registered in the Club’s Register of Members. Membership is valid for 12 months from the 1st September – 31st August.
*
Agree
Required
I confirm that I am happy for Minds United FC to store and process the personal information provided to facilitate my membership in accordance with our GDPR policy.
*
Yes
Required
Do you consent for Minds United FC using your image in promotional material such as pictures/videos on the website, social media posts etc.
*
Yes
No
Required
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