BUCS EUSA Athlete Information Form

University

Sport

First name (as per passport) *

Surname (as per passport) *

Birth/maiden name (if applicable)

Gender *

Date of Birth *

Nationality *

Place of birth (City and Country) *

Accreditation Photo (please attach a photo) *

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Permanent Address *

City *

Country *

Temporary address (if different than permanent)

Email Address *

Phone Number *

Faculty *

Field of Study

Year of Study

Graduate *

Do you have any dietary requirements? *

Do you have any food allergies? *

Medical/drug allergies

Chronic condition/illness

Please select your T-shirt size

International ranking/number

Passport or ID Card Number *

Please upload your Passport or ID Card *

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Height *

GDPR *

I give permission for my photo/passport copy to be kept on file for use on future events if required.

PRIVACY INFORMATION *

By ticking this box you confirm to the BUCS Terms & Conditions and Privacy Policy.

EUSA Athlete Information Form