Personal Details
Full Name
Address
Postcode
Telephone
Mobile
Email address
Date of birth
Age
Health Conditions (voluntary) please give details
Information
Do you consider yourself disabled? —Please choose an option—YesNo
Referral
Emergency Contact
Name
Relationship
GDPR - Storing your personal details
By submitting the form you are agreeing to allow us to store the personal information on this form and to share this information with any funders. Your information will be held on both electronic and paper-based systems that you may access at any time under the terms of the Data Protection Act 2018.
Declaration
I understand that my membership and participation within the shed is dependent on the details given above being accurate. I also confirm that I have read the rules and constitution of the shed and agree to being bound by those rules and constitution.
Signed
