Disclaimer and Personal Details Form
This form MUST be filled in before you complete a membership application form

All details submitted will be collected and stored by the club's Welfare Officer only. If you have any conserns, questions, or would like to share more detail with the Welfare Officer please email isrc.welfare@gmail.com

Full Name *
Address (in full) *
Phone number *
Email address *
Emergency Contact Name *
Emergency Contact Number *
Address of Emergency Contact (if different from own)
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