Membership application

Preferred Pronoun *

Name *

First

Last

Date of Birth

Phone

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Are you a member of any other re-enactment groups? *

Yes
No

If Yes which Group/Society?

Group

If a Member of another society what is the name of the group that you belong to (if applicable)?

Have you ever had a re-enactment society membership application or renewal refused? *

Yes
No

Have you been convicted of a criminal offence that is not treated as expired by Rehabilitation of Offenders Act 1974 and The Exceptions Order 1975? *

Yes
No

If there is anything else you wish to let us know please do so here

GDPR Agreement *

I consent to having Wirral Vikings store my submitted information so they can respond to my inquiry.

A copy of Wirral Vikings Privacy policy can be found here: https://wirralvikings.org.uk/pages/privacy-policy/

I understand and accept that the groups activities are potentially dangerous and that, if I am permitted to take part in such activities, I do so entirely at my own risk, and hereby discharge the group and its members, agents or other person authorised by it from and against all actions, claims, costs and damages which may result from any injury or damage caused to me or to my personal belongings or effects and suffered at any time during the course of my membership of the group or my participation in any activities organised by the group. If there is an issue of which we should be aware, then you must bring it to the attention of the relevant Officer. *

Yes

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