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* 1. Name of Club

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* 2. Name of League

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* 3. Age

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* 4. Gender

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* 5. Religious Belief

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* 6. Sexual Orientation

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* 7. Ethnic Background - please select 1 from the following:

  White Mixed Asian Black Other Ethnic Group
Ethnicity

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* 8. Disability
Under the Equality Act 2010, disability is defined as a physical or mental impairment that has a substantial and long term adverse effect on the ability to carry out normal day to day activities. Substantial means more than minor or trivial. Impairment covers, for example, long term medical conditions such as asthma and diabetes, and fluctuating or progressive conditions such as rheumatoid arthritis or motor neurone diseases. A mental impairment includes mental health conditions (such as bipolar disorder or depression), learning difficulties (such as dyslexia) and learning disabilities (such as autism and Down's syndrome). Some people including those with cancer, multiple sclerosis and HIV/AIDS are automatically protected as disabled people by the Act. Visual impairment, Hearing impairment, Speech and Language impairment, physical disability, cognitive impairment, Learning disability.

Do you consider that you meet this definition?

T