Membership Form

WHO'S APPLYING?

Please select*

I am a Parent/Guardian applying for a Child
I am 18yrs+ and I want to become a Member

BRANCH / ОСЕРЕДОК*

YOUR DETAILS

Name / Ім’я*

First / Перший Surname / Прізвище

Date of Birth*

DD

MM

YYYY

Address*

House Number / Name Address Line 2 City / Town Post Code

Email*

Your Email Confirm your Email

You will receive a confirmation email shortly. If this is the first time you have submitted your email on our website, then you may want to check your Junk folder if you have not received it in a few moments.

Mobile Number*

CHILD DETAILS / ІМ’Я ДИТИНИ

Name / Ім’я*

First / Перший Surname / Прізвище

Date of Birth*

DD

MM

YYYY

EXISTING MEMBER REFERENCE

Name / Ім’я*

First / Перший Surname / Прізвище

CONSENT

By signing this form, you give us permission to use your details, solely for dealing with you as a member of CYM.
CYM has a Data Privacy Policy which can be found at: https://cym.org/en/gb/members/privacy-policy/
Your data will be stored and used in accordance with this Policy.

Permission*

I agree to the Privacy Policy.

Name

This field is for validation purposes and should be left unchanged.

CYM Membership Form

WHO'S APPLYING?

YOUR DETAILS

CHILD DETAILS / ІМ’Я ДИТИНИ

EXISTING MEMBER REFERENCE

CONSENT