Kicks Expression of Interest
Participants Details and Information
First Name
Last Name
Date of Birth
Gender
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Male
Female
Non-binary
Transgender
Prefer not to say
Other
Ethnicity
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White British
White Irish
Gypsy or Irish Traveller
Any other white background
White and Black Caribbean
White and Black African
White and Asian
Any other mixed/ multiple ethnic background
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background
African
Caribbean
Any other black background
Arab
Any other background
Disability
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Yes
No
If
YES
, please state
Allergies
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Yes
No
If
YES
, please state
Medical Conditions
Which Kicks session would you like to attend?
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Aberdare
Abertillery
Butetown
Caerau (Western Leisure Centre)
Ebbw Vale
Grangetown
Llanedeyrn
Llanrumney
Maerdy
Pentwyn
Rumney
Shirenewton
Tredegar
Tremorfa
YMCA Cardiff
Girls Only
Cadoxton
House of Sport: Football For All
Merthyr Kicks
Girls Llanrumney Half Term
Caerau Kicks (Caerau Primary School)
If other, please list name of session below.
Parent/Guardian Details
First Name
Last Name
Emergency Contact Number
Parent's Email
Postcode
Relationship to participant
Other Details
How did you hear about Kicks?
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Sponsored Social Media post
Social media
Direct mail
Word of mouth
New or returning participant?
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New
Returning
Would you like to subscribe to our newsletter?
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Consent Information
Image Consent
I give Cardiff City FC Community Foundation all consent for use of still and moving imagery for purposes stated in the
imagery consent notice
which can be found below.
I give Cardiff City Football Club all consent for use of still and moving imagery for purposes stated in the
imagery consent notice
which can be found below.
Imagery Consent Notice
Marketing Preferences
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Email
Phone
SMS
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Privacy Notice
I agree to the linked
Privacy Notice
and can change my preferences at anytime by emailing DPO@cardiffcityfc.org.uk
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Contact Information