Lancashire LGBT Swimming Group registration form

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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.

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1. What is your name? *

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2. What age group are you in? *

18-24
25-34
35-44
45-54

55-64
65-74
75-84
85+

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3. What is your home address? *

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4. How do you describe your gender identity? *

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

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

Yes
No
Prefer not to say

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6. How would you describe your sexual orientation? *

Lesbian
Gay
Bisexual
Heterosexual
Prefer not to say
Other sexual orientation (please specify):

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7. How would you describe your ethnicity? *

Black British
Asian British
Dual or mixed ethnicity
White British
Prefer not to say
Any other ethnic group (please specify):

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

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

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