New Customer Registration Form

Family Craft Session

Registration Form
Your Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

Street Address Line 3City

Post code
Phone Number*

PrefixNumber
E-mail
example@example.com
Below can you give the name of each child that would like to join family craft sessions, please remember this is for ages 7-15 and accompanied with an adult. Also does your child have any allergies or medical conditions we need to be aware of.
I confirm my child/children are aged 7 to 15?*

Yes
How did you hear about us?*
Other (Please Specify)
Please note you will be asked to complete a PARQ (Physical Activity Readiness Questionnaire) at your first session of Zumba.
Photography and Video

We would like to be able to share photographs and video of the work created on this project across our social media channels. This includes our website, YouTube, FaceBook, LinkedIn, Instagram and Twitter accounts. Photos/videos may also be shared with the funders.
Are you happy to consent to this type of photography and sharing?*

YESNOUnder 16's
Do you have any specific access requirements?

YESNO
If 'yes' please tell us about that here:
OPTIONAL: Are you interested in volunteering with our organisation?

YESNO
Use of your data

All information will be treated as strictly confidential by MCC CIC. High level summaries may be shared with the funders. All data will be collected and stored in accordance with the GDPR 2018 guidelines. Data may be provided to the funders upon an audit or monitoring visit.
Consent
I agree to take part in the activity and for monitoring data to be shared as detailed above.*

YES
Signature*

Clear
Should be Empty:

Family Craft Session

Photography and Video

Use of your data

Consent