Manchester Bees Dodgeball Club - New Starter Form
If you need to get in contact with us about anything, you can either email or chat to us on Facebook:

You will receive a copy of this form upon submission for your records!
Email *
What is your name? *
Date of Birth *
Contact Number *
Post Code *
Ethnicity *
We only ask for ethnicity as this helps us with funding applications to ensure that we're reaching as wide of an audience as possible, and being accessible to everyone. Any Ethnicity information provided will never be used with identifying information, and only used anonymously. You may also enter 'N/A' if you do not wish to provide this information!
Emergency Contact
In the event of a serious accident of injury, we need to have an emergency contact for you!
Emergency Contact Name *
Their relationship to you *
Their contact number *
Relevant Medial Information (Including Allergies) *
Other Questions
In the past 4 weeks, on how many days have you done 30 minutes or more of sports and/or recreational physical activity? *
How did you first hear about Manchester Bees Dodgeball Club?
Are you over the age of 18? *
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