Course Registration Form
Complete this form to sign up or apply for courses at Grand Junction. For more information or details about courses, please visit our website www.grandjunction.org.uk . If you have any questions, please email enrolment@grandjunction.org.uk
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Emergency Contact - name and relation to you
*
Emergency Contact - contact details
*
Which course do you wish to sign up to?
*
Please Select
Draw and Discuss - Art class
Language Cafe
How did you hear about this class?
*
Photography / Filming permission: Paddington Development Trust, or our funders, may publish photographs or film online or in print in which you may be recognised, for publicity or training purposes. Do you give your consent to be photographed/filmed as part of this class?
*
Yes - I give my consent
No - I do not give my consent
Grand Junction Mailing List: Please let us know if you would like us to add you to our Grand Junction mailing list and keep you informed about upcoming events and activities. We do not share your details with any third parties.
*
Yes - I give my consent
No - I do not give my consent
About you
We are asking you to provide your gender, age and ethnic group. We collect this information to be able to report to our funders and meet our funding obligations. This allows us to keep these classes free of charge.
Your gender
*
Female
Male
Other
Prefer not to say
Your age
*
Under 18
18-25
26-35
36-45
46-55
56-65
Over 65
Prefer not to say
Your ethnicity
*
African
Arab
Bangladeshi
Caribbean
Chinese
White English, Welsh, Scottish, Northern Irish or British Irish
Gypsy or Irish Traveller
Indian
Pakistani
Roma
White and Asian
White and Black African
White and Black Caribbean
Any other Asian background
Any other Black, Black British or Caribbean background
Any other mixed or multiple ethnic background
Any other White background
Other
Prefer not to say
Religion/Belief
*
Atheist
Buddhist
Christian
Hindu
Jain
Jewish
Muslim
No religion
Rastafari
Sikh
Zoroastrian
Other
Prefer not to say
Privacy information
In accordance with the Data Protection Principles set out in the General Data Protection Regulation 2018, the information collected in this registration form will be stored confidentially, processed fairly, and will not be kept for longer than is necessary for us to manage this project. The information will not be unlawfully disclosed to any unauthorised person or third party. You have the right to access the information that Paddington Development Trust holds about you, or withdraw your consent to our use of your information at any time. For further information about how your personal information and rights are protected, please see Paddington Development Trust’s Privacy Policy.
I consent to my personal information being used for the above stated purposes.
*
Yes
No
Submit
Should be Empty: