Update Member Member– Fill Out Other Fields –created by Personal DetailsEntry IDName* First Last Gender*Select a genderMaleFemaleEthnicity–White BritishWhite IrishWhite OtherWhite & Black CaribbeanWhite & AsianWhite & Black AfricanAsian/British Asian IndianAsian/British Asian PakistaniAsian/British Asian BangladeshiAsian/British Asian OtherBlack/Black British CaribbeanBlack/Black British AfricanBlack/Black British OtherChineseOtherParent/Guardian InformationParent/Guardian NameParent/Guardian RelationParent/Guardian Phone NumberAddressAddress Address Line 1 Address Line 2 City/Town County Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact detailsHome phone numberMobile phone numberWork phone numberEmergency contact detailsEmergency contact name First Last Emergency contact numberEmergency contact relationParentGrandparentGuardianFoster carerPartnerOther familyOtherExplain contact relationMedical recordHas athma*YesNoNot SetHas diabetes*YesNoNot SetHas epilepsy*YesNoNot SetEpilepsy detailsHas allergy*YesNoNot SetAllergy detailsHas heart condition*YesNoNot SetHeart condition detailsHas medication*YesNoNot SetMedication detailsHas injury*YesNoNot SetInjury detailsHas visual impairment*YesNoNot SetVisual impairment detailsHas hearing impairment*YesNoNot SetHearing impairment detailsHas physical disability*YesNoNot SetPhysical disability detailsHas learning disability*YesNoNot SetLearning disability detailsOther important detailsShare your information with England HockeyClubBuzz and England Hockey, as part of the 'Approved Provider' scheme for Club Management Systems, have been working to make it easier than ever for clubs to share important statistics, such as membership figures, with England Hockey. It's hoped that by giving England Hockey such a rich insight into hockey in England, they can make their support even better for clubs. Your club has signed up Your club has signed up, and is sharing the following insights with England Hockey. Members – this includes a list of anonymised members, club committee members, umpires and coaches. You can opt to share their 'Personally Identifiable Information' with England Hockey, but by default, this information is kept anonymous to England Hockey. Teams – your club is sharing details about the number of teams in your club, their fixtures dates, times, and any other details stored in ClubBuzz related to that fixture. Venues – your club is sharing details about your club's venues, such as its name and location. Your club has the right to opt-out of the integration with England Hockey at any time.Would you like to share your personally identifiable information with England Hockey?*England Hockey would receive your name, date of birth, gender, email address, phone number, address, whether your are a player, coach, umpire, or club committee member. You can opt out at any time.YesNoWhat sort of communication do you want to receive from England Hockey?I want to receive all communication types from England HockeyI want to receive updates and news about hockey leaguesI want to receive marketing updates from England HockeyI don't want to hear from England Hockey at all