FANS Card Application Form
 Is the applicant under 18 years of age?

 Applicant Name
 Address
 Postcode
 Contact Number
 Email
 Date of Birth
 Sport (including discipline)
 Occupation/School
 Name of Club
 National Squad/Team
 Squad Coach's Name
 Squad Coach's Contact Number
 Squad Coach's Email
 Please provide details below of your selection for a Home Country or Great Britain Team within the last 12 months, or of current membership of a Home Country or Great Britain Squad. You should include as much detail as possible.
 You must attach a covering letter from your National Squad Coach or Manager supporting your application here.
 Please state any competitions you expect to be entering during 2018 - 19
 Name of Championship/Event
 Date of Event One
 Name of Championship/Event
 Date of Event Two
 Name of Championship/Event Three
 Date of Event Three
 Support Statement Please use the space below to highlight any special circumstances to which the applicant wishes to attention to be drawn. Any information given in this section will be treated as strictly confidential.
Photo Consent - During your year on the Gedling Elite Athlete Support scheme - Gedling FANS - Gedling Borough Council may wish to take your photograph for promotional purposes. These images may appear in our printed publications, website and in local press. To comply with the General Data Protection Regulations and Data Protection Act 2018, we need your permission before we take any photographs or recordings of the applicant. Please answer the questions below:
 May we use the applicant's imagine in printed publications produced by Gedling Borough Council for promotional purposes?

 May we use the applicant's image on our websites?

 May we use the applicant's image to promote the Gedling Elite Athlete Support scheme?

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For further information on how we use your data please see our privacy policy visit Leisure Privacy Statement. and Community Relations Privacy Statement
 To the best of my knowledge, the details in the application are correct. I agree that I will abide by the Terms and Conditions of this award and understand from this form may be used for administration and publicity purposes in accordance with the General Data Protection Regulations and Data Protection Act 2018.
 Full Terms and Conditions are available here.
 New application

 Gedling Leisure Card Number (if known) If you do not have a Gedling Leisure Card you must apply for one, click here to apply Gedling Leisure Card