UNDER 18s REGISTRATION FORM

Huddersfield Town Foundation
UNDER 18s REGISTRATION FORM
Which project are you attending?
How did you hear about this project?
PARTICIPANT DETAILS

Please provide us with the participants personal information as requested below in order for us to facilitate their participation in our activity session.
First Name
Last Name
Date of Birth (DD/MM/YYYY)
Address
Postcode
Gender
Religion
Ethnicity
Long Term Illness or Disability
Please provide any further relevant information on the participants long term illness or disability
Please notify us of any relevant medical conditions (physical or mental) that may adversely affect participation in this session
What School does the participant currently attend?
Emergency Contacts
Emergency Contact 1 Forename
Emergency Contact 1 Surname
Emergency Contact 1 Relationship to Participant
Emergency Contact 1 Number
Is this person allowed to collect the young person from the session?
Emergency Contact 2 Forename
Emergency Contact 2 Surname
Emergency Contact 2 Relationship to Participant
Emergency Contact 2 Number
Is this person allowed to collect the young person from the session?
CONSENT
In addition to facilitating your participation in our activity sessions, Huddersfield Town Foundation may use personal information as provided by you for data analysis. As part of this, we may share your personal information with our partners including but not limited to: Huddersfield Town Football Club, English Football League in the Community, English Football League, The Premier League, The Premier League Charitable Fund, Professional Footballer’s Association and other local partners.

Huddersfield Town Foundation is committed to protecting your data and respecting your privacy. We aim to be clear when we collect your data and not do anything you would not reasonably expect with your data. We handle and process data in accordance with the General Data Protection Regulation 2018 (“GDPR”) and the Privacy and Electronic Communications Regulations 2003. If you require further information, Huddersfield Town Foundation’s Privacy Policy can be provided.You can opt out at any time from your personal information being used in any of the above ways, please contact us on 01484 503 773.
Photos and / or Films may be used for promotional purposes and features across our marketing platforms including but not limited to: match day programmes, websites and social media platforms.
Do you provide your consent for us to occasionally photograph and / or film participant taking part in our activity sessions
If you have any concerns relating to safeguarding, discrimination, inappropriate language and / or behaviour following your attendance at one of our sessions, please contact the Foundation’s Safeguarding Lead on 01484 503 773.
Parent / Guardian Signature
Date (DD/MM/YYYY)
Do you consider yourself to have a disability?

If yes, please tick which of the below best reflects your disability:

5 WHAT IS YOUR ETHNIC GROUP?

Huddersfield Town Foundation Ltd, Leeds Road Sports Complex/Playing Fields, Leeds Road, Huddersfield, HD2 1YY Tel: 01484 503 773, www.htafcfoundation.com, Twitter @htafcfoundation, Facebook: htafcfoundation, Charity Number:1146501, Company Number: 07690182
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Huddersfield Town Foundation

UNDER 18s REGISTRATION FORM

PARTICIPANT DETAILS

Emergency Contacts

CONSENT