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Dumfries Hockey Club Membership Form 2025/2026
Please note that your personal data will be used to complete appropriate returns to the Scottish Hockey and West District Hockey organisations. Also, it will be used to compile a contact database for Club purposes, but your details will not be provided to any other Third Party in a ay that enables you the individual to be identified unless your consent to disclose this is received.
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FULL NAME (incl. Title - Mr/Mrs/Miss/etc.)
*
Your answer
Please tick this box if all of your details are the same as last year.
My details are the same as last year and do not need updating.
There is a change in my details from last year.
ADDRESS & POSTCODE
Your answer
TELEPHONE (MOBILE)
Your answer
EMAIL
Your answer
DATE OF BIRTH
MM
/
DD
/
YYYY
ALLERGY/MEDICAL INFORMATION
Your answer
PHOTOGRAPHY CONSENT
YES
NO
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