Young person's activity registration form

When you book a child onto an activity, you will be asked to to confirm that you have read and understood this code of conduct:

Code Of Conduct For Parents Carers And Other Spectators

Please submit a separate form for each participant.

What is the activity/venue? *

Participant's name *

Parent or carer's name *

Emergency contact telephone number *

Participant's postcode

Contact email address

Participant's gender

Participant's date of birth

Participant's ethnic background

Any health conditions requiring medication?

Please be aware that our live online classes will be recorded for health and safety purposes and will not be shared outside of the organisation

We often take photographs or video of the sessions to publish to help promote the activities. Do you grant permission for us and our partners to use these photos in this way?

We send update emails about further and other activities. Would you like to receive them?

We invite participants to take part in a survey to evaluate the success of the activities. Would you like to be invited?

How did you find out about this activity?

By submitting this form you confirm that you and the participant accept the code of conduct, and agree that participant may be taken to hospital or seen by a doctor should an emergency arise.

As a Local Authority we collect, hold and process information supplied by you in accordance with the Data Protection Act, to allow us to provide services effectively. You can find out more regarding this and our fair processing notices here.