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Ground Swell CIC Membership Form

 

1. Membership card number (if you haven't been given one yet don't worry)

Membership card number (if you haven't been given one yet don't worry)

2. Your name

Your name   First name
Last name

3. Guy or girl?

Guy or girl?   Male

Female

4. Whats your e-mail?

Whats your e-mail?

5. What's your address?

What's your address?

6. Whats your date of birth (Day/Month/Year)

Whats your date of birth (Day/Month/Year)

7. How old are you?

How old are you?   10 11 12 13 14 15

16 17 18 19 20 21

22 23 24 25

8. Who do you surf with?

Who do you surf with?   Mum or Dad On my own Brother or sister

Friends School Anyone as long as i can surf!

My dog

9. What do you like to ride?

What do you like to ride?   Shortboard Fish Longboard

Beginner board SUP Bodyboard

Prefer to swim I'm starting out, so anything!

10. What do you do day-to-day?

What do you do day-to-day?   at school at college Employed full time

Employed part time Work seasonally unemployed

unemployed and on Job Seekers unemployed and on a benefit or scheme