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Are you completing this form for yourself or referring another student?: (required) For someone elseFor myself
If you are completing this form to refer someone else, please add their name below:
Please select the club you are part of or wishing to join from the list: Men’s FootballWomen’s FootballMen’s BasketballWomen’s BasketballMen’s RugbyWomen’s RugbyNetballCheerleadingBadmintonMuay Thai
Do you currently or have you previously received any other support from LSBU?: (required) NoYes
If yes, please select from list below what other support you have received from LSBU?: (required) Disability, Dyslexia supportCare Leader’s bursaryStudent retention fundRemote learning fundTravel BursaryChildcare BursaryWellbeing supportMove for Change programmeOther
If other, please specify:
What type of support do you require from LSBU Active?: (required) Sports Club Membership payment supportSupport with purchasing sports kit/equipmentBothOther
We would like to contact you with details of our leisure activities, promotions and competition offers we provide. If you would like us to contact you, please tick the following boxes to confirm how you would like us to contact you and which service(s) you are interested in receiving information about:
How would you like us to contact you:EmailTelephone
Which service would you like information about:/ SportsGymFitnessFacility Hire
If you wish to unsubscribe from future communications regarding our services please send an email to: unsubscribeadmin@lsbuactive.co.uk and add unsubscribe to the subject line. Or write to: LSBU Active, 116 London Road, SE1 6LN
For more information about how LSBU Active uses your personal data, please see our Privacy Notice at lsbuactive.co.uk/privacy-policy/
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