Test - BASC

Membership number(Required)

Relationship to member(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City County Postcode

Phone(Required)

Email(Required)

Date of birth(Required)

Details of the sponsorship(Required)

Please add in here, details of the development and aspirations, experience you have to participate in this Legacy Sponsorship Programme

Sporting aspirations(Required)

Please tell us here a little about yourself, what you are currently doing and what you hope to achieve if you are successful in obtaining the sponsorship package.

Supporting information(Required)

Consent form for photography and filming

Please tick and sign below to confirm the following:
1) I understand that images on websites can be viewed throughout the world and not just in the United Kingdom and that some overseas countries may not provide the same level of protection to the rights of individuals as EU/UK legislation provides.
2) I understand that some images or recordings may be kept permanently once they are published and be kept as an archive of BASC activities.
3) I have read and understand the conditions and consent to my images being used as described.

Print publications

Video

Digital media – including websites and newsletters

Social media

I agree to my personal data being used as per the following details:

Full name

Age

Name and place of study

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application and that all information provided above is accurate.(Required)

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Phone

This field is for validation purposes and should be left unchanged.

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