Membership application form - Midland Sailing Club

In order to apply for membership of Midland Sailing Club, please fill in the form below. We will then get in touch with you with any further details. Midland Sailing Club will keep your contact details secure and will not pass them on to any third party.

Name*

First Name Family Name

Email*

Phone

Address*

House Number & Street Locality (eg Edgbaston) City Postcode

Gender*

female
male
other
prefer not to say

Your Date of Birth*

Ethnicity

Joining Details

Joining through a SailBirmingham Course
Joining through the Sailbility Programme
Over 18 and in full-time education

Sports

Which sports are you interested in? Please select all that apply:

Dinghy Sailing
Windsurfing
Stand-Up Paddleboarding

Under 18?

If you are under 18, please also complete the following section:

Legal Guardian

First Name Family Name

If you're under 18, please provide the name of a parent or legal guardian.

Guardian Contact Email

If you're under 18, please provide a contact email address for them.

Midland SC Membership Application Form

Under 18?