ONLINE Adult FORM This form is to be completed only at the request of an EBA team member following an enquiry. Members Name * First Name Last Name Email * Phone * Country (###) ### #### Sex * Male female Which session are you signing up for? * Adult improver - Wednesday 8-10pm Date of Birth * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Name * Emergency Contact Number * (###) ### #### How did you hear about us? Instagram Facebook Leaflet Friend/Family Other Checkbox * By becoming a member of Essex Badminton Academy, you are agreeing that we will hold the above information about you on file and information will only be shared with coaches and Academy officials. You also give us permission to use this information provided to create an account for affiliation to Badminton England. And that you have read and agree to the GDPR, Terms and Conditions and Privacy Policy I agree I do not want to be photographed or included in any social media/website posts. * Please check the box below if you do not wish to be photographed X Thank you!
