Registration Form for BCGBA Membership

Notes

Ethnicity:

Please find below a list to help you identify your ethnic group/origin:

White	Asian or Asian British Pakistani
British	Indian Bangladeshi
Irish	Please specify if other Asian background
Please specify if other white background
Black or Black British
Mixed	Caribbean
White & Black Caribbean	African
White & Asian	Please specify if other Black background
White & Black African
Please specify if other mixed background	Chinese or other ethnic group
Chinese
Please specify if other background

Registration Form for BCGBA Membership

Notes

Ethnicity:

Please find below a list to help you identify your ethnic group/origin:

Disability:

In order to know how you can best be supported to ensure you enjoy playing bowls please can you indicate if you have any long standing illness or disability that affects you in any of the following ways. Please also include anything which may be attributed to old age (Please list all that apply):

None

Vision (for example, due to blindness or partial sight)

Hearing (for example, due to deafness or partial hearing)

Mobility (for example such as difficulty walking short distances, climbing stairs, lifting & carrying objects)

Learning or concentrating or remembering

Mental Health

Stamina or breathing difficulty

Social or behavioural issues (for example, due to neuro diverse conditions such as Autism, Attention Deficit or Aspergers’ Syndrome)

Difficulty speaking or making yourself understood

Dexterity difficulties (for example difficulty lifting, grasping or holding objects)

Long-term pain or discomfort that is always present or reoccurs from time to time