25-26 Lancashire LGBT Swimming Group registration form

The information which you give will be used in accordance with the General Data Protection Regulation. We will not share any information that would identify anyone unless there are safeguarding concerns. The information will be kept securely and will be kept no longer than necessary.

PLEASE NOTE: You must be at least 18 years old to access this swimming group, or be accompanied by a guardian who is over the age of 18.

1. What is your full name? *

2. What age group are you in? *

3. What is your home address? *

4. How do you describe your gender identity? *

Female
Male
Non-binary
Other gender identity (please specify):

5. Is your gender different to that which was assigned to you at birth? *

Yes
No
Prefer not to say

6. How would you describe your sexual orientation? *

7. How would you describe your ethnicity? *

8. Do you have any disabilities and/or describe yourself as disabled? *

Yes
No
Prefer not to say
If yes, please state: