MEMBERSHIP REGISTRATION FORM - FOR ADULTS OR PARENTS Logo
  • MEMBERSHIP REGISTRATION FORM - FOR ADULTS OR PARENTS

    Please complete all details. If you are a parent/carer signing your child up for an activity, please fill your own details below and then after submitting, you will be prompted to fill in your child's details.
  • ETHNIC GROUP

    (please choose the option which most closely relates to you)
  •  EMERGENCY CONTACT DETAILS

  • HOW DID YOU HEAR ABOUT US AND OUR ACTIVITIES?

  • Would you like to join our mailing list?

    Stay up-to-date with Fitzrovia Community Centre news and activities.
  • PHOTO CONSENT

    Photos help Fitzrovia Community Centre to attract new members to our wide variety of activities, as well as secure funds for future work.
  • If you do not give permission, please do also mention it to any photographers when they are taking photographs at our activities and events.

  • DATA PROTECTION STATEMENT

    I understand that FITZROVIA COMMUNITY CENTRE will record this information in a database for the purpose of delivering better services, creating statistics to support funding applications and evaluations, and supporting the creation and delivery of relevant marketing materials to our service users. The database will only be available to other parties if technical and organisational security measures are needed to safeguard this information. In an emergency, the information may also be used to contact a person I nominated to inform them of an incident. FITZROVIA COMMUNITY CENTRE will not disclose my individual personal information to third parties without first seeking my consent, and I am allowed to request to see my data and have it deleted at any time. My information will be treated confidentially.
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  • Registered Charity Number: 1104135           Company Registration Number: 4755140

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