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Bognor Regis Men's Shed
Please complete this membership form to become a member of Bognor Regis Men’s Shed. Your form will not be accepted unless it is completed in full, including the disclaimers at the bottom.
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Name *
Known as *
Address *
Date of birth *
MM
/
DD
/
YYYY
Email (leave blank if no email)
Home phone number
Mobile No.
Do you have any of the following skills?
Anything else?
What activities are you interested in doing in the Shed?
Anything else?
Emergency Contact (Name) *
Emergency Contact No. *
Relationship of Emergency Contact *
Doctor's Name & Surgery *
Doctor's phone No. *
Please state any serious medical details which we should be aware of in the case of emergency (e.g. epilepsy, heart conditions). State "N/A" if not applicable. *
Annual membership of £65 to help with the upkeep of the Shed. This also lets you vote on membership issues and at meetings. In addition, each session you attend has a fee of £1. *
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