Membership Form CPA Camera Club 2021/22 Thank you for applying for membership of the Central Photographic Association (also known as CPA Camera Club) for the 2021/22 season. The Treasurer will respond to your application in due course. Personal DetailsFirst Name *Last Name *Address Town/City Postcode Mobile Phone *Email *Membership Category *Please select the category of membership you require:General (£50.00)Student (£35.00)Over 65 (£40.00)Family (£60.00)Other club membership If you were previously or are currently a member of another camera club, please specify which club.Emergency Contact In the event that you become unwell during a club event, is there someone you would like us to contact? ConsentData Protection (GPDR) The information you supply as part of your membership application is for internal club use only and will not be shared with any third party. For further details on how your data is used please see our Data Protection Policy.I have read the Data Protection Policy and accept this use of my data. *I consentConstitution For information on how CPA Camera Club is managed please refer to the Constitution.I have read and will abide by the Constitution. I consentPublicity Photographs taken at club events may be used on our website, on social media or in relation to competitions and exhibitions. If you are happy for a photograph in which you appear (and/or any minor attending under your care) being used in this manner then please give your consent below.Photographs in which I appear may be used for publicity purposes. I consentDate * VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: