WALES LACROSSE
MEMBERSHIP FORM - 1 September 2024 to 31 August 2025

All members shall be deemed to have made him/herself familiar with, and agreed to be bound by the UK Anti-Doping Rules and to submit to the authority of UK Anti-Doping in the application and enforcement of the Anti-Doping Rules.

The UK Anti-Doping Rules apply to all members participating in lacrosse, for a minimum of 12 months from the commencement of membership, in accordance with the Wales Lacrosse Code of Conduct, whether or not the member is a citizen of, or resident in, the UK.

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Email *
Payment details
Please make payment to the following account:
Wales Lacrosse
Sort code : 20 - 90 - 69
A/c 83356167

Please reference your payment with Member's first name and last if different to the payer
First name *
Last name *
I agree to be bound by the Wales Lacrosse Code of Conduct. *
Required
Address including postcode *
Date of birth *
MM
/
DD
/
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Mobile number *
Emergency contact name (Parent / Guardian if U18) *
Emergency contact number (Parent / Guardian if U18) *
Parent/guardian email address (U18s)
Membership category *
Required
Payment details
Please make payment to the following account:
Wales Lacrosse
Sort code : 20 - 90 - 69
A/c 83356167

Please reference your payment with Member's first name + last name if different to payer 
Group *
Required
Eligibility to represent Wales

Please tick ONE category

From 1 September 2022 all players wishing to represent Wales must be UK Passport holders and fulfil ONE of the following requirements:
*
Required
Coaching qualification
Officiating qualification
What School / University / Club do you play for? *
EQUITY DETAILS
Are you a Welsh speaker?
Gender *
Required
Do you consider yourself to have a disability or impairment?
Ethnic Group
The information you provide to Wales Lacrosse will not be shared with any other organisation.
We will not share this data with any other bodies and will only process it for the purposes and necessary functions of Wales Lacrosse. We retain this data for 360 days until otherwise notified.
Wales Lacrosse may use this information to tell you about WLA events, services and/or special offers.  
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