Sign Up Form - Windmill Hill City Farm Multi-Sport Programme
Please complete the below information for the individual taking part.

This programme is supported by both Windmill Hill City Farm and Access Sport. Therefore by completing and submitting this form, you consent to each organisations GDPR Policies and Procedures.

Copies of these are available from the following sites:

Windmill Hill City Farm
https://www.windmillhillcityfarm.org.uk/wp-content/uploads/policies/general/GN11-Data-Protection.pdf

Access Sport
https://www.accesssport.org.uk/gdpr
First Name *
Your answer
Surname *
Your answer
Gender *
Date of birth *
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/
DD
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YYYY
Postcode *
Your answer
Email Address (either participant or parent/guardian/carer/support worker)
Your answer
Contact Number (either participant or parent/guardian/carer/support worker)
Your answer
Emergency Contact Number *
Your answer
I give permission for images/footage to be taken of me whilst taking part. I understand that the images/footage may be used to promote the work of Windmill Hill City Farm & Access Sport, for example on our website or in authorised publications *
Ethnicity *
Do you have a disability or long term limiting illness? *
Required
Are there any other health conditions or additional information that we should be aware of?
Your answer
Have you taken part in 30 minutes of sport and/or physical activity, at least once in the past 4 weeks? *
Would you like to sign up to the Access Sport Ignite Bristol newsletter that will provide information on all the latest disability inclusive sport opportunities in the local area?
How did you hear about this opportunity?
Your answer
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