Membership Form About you Member First Name Member Last Name Date of Birth (dd/mm/yyyy) Membership TypeLifetime - Over 25's (£10 one off payment)Junior - Under 25's Are you under 18?YesNo Parent/Guardian Information Parent/Guardian First Name Parent/Guardian Last Name Parent/Guardian Email GenderMaleFemaleOther Sight CategoryB1 - Totally blindB2 - Partially blindB3 - Partially sightedB4 -B5 - Sighted EthnicityPlease select... White: Welsh / English / Scottish / Northern Irish / British White: Irish White: Gypsy or Irish Traveller White: Any other White background, please describe below Mixed / Multiple Ethnic Groups: White and Black Caribbean Mixed / Multiple Ethnic Groups: White and Black African Mixed / Multiple Ethnic Groups: White and Asian Mixed / Multiple Ethnic Groups: Any other Mixed / Multiple ethnic background, please describe below Asian / Asian British: Indian Asian / Asian British: Pakistani Asian / Asian British: Bangladeshi Asian / Asian British: Chinese Asian / Asian British: Any other Asian background, please describe below Black / African / Caribbean / Black British: African Black / African / Caribbean / Black British: Caribbean Black / African / Caribbean / Black British: Any other Black / African / Caribbean background, please describe below Other ethnic group: Arab Other ethnic group: Any other ethnic group, please describe below Other Other Contact Information Member Email Mobile Phone Home Phone Preferred Contact NumberMobileHomeDo not contact Address line 1 Address Line 2 Town/City County Postcode London BoroughPlease select... N/A Barking and Dagenham Barnet Bexley Brent Bromley Camden City of London City of Westminster Croydon Ealing Enfield Greater London Greenwich Hackney Hammersmith and Fulham Haringey Harrow Havering Hillingdon Hounslow Islington Kensington and Chelsea Kingston upon Thames Lambeth Lewisham Merton Newham Redbridge Richmond upon Thames Southwark Sutton Tower Hamlets Waltham Forest Wandsworth Westminster Hidden Active Member Membership StatusPlease select... Active Member Former Member Non Member Preferred PhonePlease select... Home Work Mobile Other Web Sign Up Preferred EmailPlease select... Personal Work Alternate For Paypal redirect Stay up to date with the latest news from Metro Blind Sport Metro Blind Sport Newsletter Due to the General Data Protection Regulations, (GDPR) you must actively choose to receive our newsletter and newsflash updates.If you would like to receive our Newsflash Updates and Monthly Newsletter, which is full of the latest blind and partially sighted sporting and social events, then please tick the below checkbox and let us know your preferred format. I would like to receive the Metro Blind Sport Newsletter Preferred Email FormatImages & LinksText & LinksText Only For a large font printed Newsletter sent by post – please email request to: info@metroblindsport.org Let us know what Sports and Social events you Like! Sports and Events Archery Athletics Bowls Climbing Cricket Cycling Dancing Football Goalball Horse Riding Judo Multi Events Polybat Sailing Social Events Skiing Swimming Tennis Are there any other sports you would like Metro to support? Paypal_Hidden_Fields reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Contact Us
