First name * |
Surname * |
Date of birth * |
Gender * |
Ethnicity * |
Medical information or disability * |
Contact email address * |
Repeat email * |
Contact mobile number * |
Address line 1 * |
Address line 2
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City
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County * |
Postcode * |
Country * |
Emergency contact details
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Emergency contact name and number 1 * |
Emergency contact name and number 2 * |
Photo consent |
Do you give consent to be photographed at the event/session to be used for future promotional materials? * |
Free registration * |
Additional questions |
Have you booked with us before?
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Where did you hear about us?
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We want you to know exactly how our service works, why we need your registration details and how we will be protecting your data. Please state that you have read our Terms and Conditions, Data Protection, & Code of Conduct
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We'd love to send you the latest information and exclusive offers about The Albion Foundation and West Bromwich Albion Football Club by email, post and SMS. We'll always treat your personal details with the utmost care and will never sell or share them to other companies for marketing purposes Please let us know if you would like us to contact you by selecting the option below |
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