17 Clifton Road, Birmingham, B12 8SX
Ansaphone: 0121 440 0643
secretariat@ksmnet.org
Monday, 26 February 2018  
9. Jamadi-ul-Akhir 1439

Masoomin Sports Club - Membership Form 2018

Please complete the following membership form for Masoomin Sports Club. The membership covers 1st January to 31st December each year. You will be required to pay your membership fee as part of this registration process via Paypal. You do not need a Paypal account.
If you provide false information, your membership may be terminated.
First Name:(*)
Please let us know your name.

Surname:(*)
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Date of Birth:(*)
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Mobile Number:(*)
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We will send regular updates via text or Whatsapp to this number

Your Email:(*)
Please let us know your email address.

We will send regular updates and newsletters to this email address

Masoomin Membership Fees(*)

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Consent

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Whilst MSC make every effort to ensure the safety and enjoyment of all our members, we do not accept liability for injuries caused while playing sports. In the event that the person named in this form is injured while playing sports I hereby give my consent for said person to receive medical attention. MSC holds information on the members in order to support their development, monitor and report on progress/attendance, and to assess how MSC is doing as a whole. This information includes contact details, relevant medical information, group/gender, attendance, consent etc. This information will not be released to a third party without the written authority of the member or parent/legal guardian (if under 18).

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