Sunise MCP - Football Project Registration Form

1
Full Name of Young person* This field is required.
First Name of child
Last Name of child
2
How did you hear about the Football Project?
3
Date Of Birth* This field is required.
Date
Day
Month
Year
4
Gender* This field is required.
Female
Male
Other
5
Home Address* This field is required.
Street Address
Street Address Line 2
Town
County
Postal Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Young person mobile number.
7
Tick to add your child to our Whatsapp Broadcast list, to get updates on trips and activicties.
8
Method Of Travel To Sunrise Multicultural Session* This field is required.
e.g walk, bicycle or car
9
Nationality* This field is required.
10
Ethnic Origin. Please tick the ethnic group to which you belong. It is essential that we have this information so that we can monitor the effectiveness of the projects equal opportunities policies and practices.* This field is required.
African Heritage
Bangladeshi
Black
Black Caribbean Heritage
Black Other
Chinese
Indian
Mixed Origin
Pakistani
White European
White UK Heritage
White Other
Other
11
Religion (Optional)
12
Parent/Guardian name* This field is required.
First Name
Last Name
13
Parent/Guardian WhatsApp Contact Number (which will be added on a broadcast list to notify of project information)* This field is required.
14
Please save these mobile numbers in to your phone contacts. Only once you've done this will you be able to receive our WhatsApp broadcast messages.

Mob

07934578151
15
Emergency Contacts: Please give details of a person other than the Young persons parents/main carer who may be contacted in the event of an emergency, if the main parent/carer is not contactable for any reason.* This field is required.
First Name
Last Name
16
Above Emergency Contact mobile number * This field is required.
17
Doctor's Surgery
18
Does your young person have any health issues, that we should be aware of?* This field is required.
19
Does your young person have any disabilities that we should be aware of?* This field is required.
20
Does the young person have any allergies that we should be aware of?* This field is required.
21
Where did you hear about this group?* This field is required.
22
Sunrise would like to use photos of the young people for social media, displays around the centre and in the publication of reports, leaflets, publicity materials, activities and send to local or international funders.* This field is required.
Yes I give consent
No I dont give consent
23
Consent for Medical Treatment, Please select, if the named young person should require medical treatment, a member of the Centre staff may take him/her to the appropriate health centre/casualty department.* This field is required.
Yes I agree
No I dont agree
24
Consent for trips and outings, Please select if the named young person may be taken on supervised outings/trips in the care of Sunrise Staff.* This field is required.
Yes I agree
No I dont agree
25
General Consent for Data Use - I confirm that the above information is, to the best of my knowledge, correct, I accept all the terms and conditions of the Sunrise project and give my permission for this information to be used in a database for the Sunrise Multicultural Project.* This field is required.
Yes
No
26
Image Field
27
Please verify that you are human* This field is required.
Should be Empty: