JUT Young Connect Registration Form

We're running a monthly program for young people aged 11- 18 from the Global community focusing on social, mental, academic and financial well-being.

Our goal is to equip young people with tools, knowledge and experiences to navigate academic pressures, social media, mental health, finances and identity pressurees while building confidence, community impact and leadership skills.

Sessions are free and will be held on a monthly basis, In-person or online.

Sessions will start Saturday, 28th June 2025, 12 PM, Deptford Lounge, 9 Giffin St, Deptford SE8 4RJ.

This form must be completed by parents or carers.

Young Person's Information

Name*

First NameLast Name

Age*

Email*

example@example.com

Phone Number*

Area CodePhone Number

Gender*

MaleFemaleOther

Address*

Street Address

Street Address Line 2

CityCounty

PostcodeCountry

Please choose an option that best describes your child's ethnicity.

This data is collected for monitoring purposes only.

Please state below if your child has any learning difficulties or special needs.

Signature*

Parent/Carer Information

Name*

First NameLast Name

Phone Number*

+44Phone Number

E-mail*

Relationship to child

Informed Consent and Acknowledgement

I hereby give my consent for my child’s participation in the Young Connect program with Joined Up Thinking JUT CIC.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE.

ON RECEIPT OF THIS APPLICATION, A CONFIRMATION EMAIL WILL BE SENT TO YOU.

Privacy

All personal information collected by Joined Up Thinking JUT CIC is strictly private and confidential. We will not share your information with any third parties, unless required by law to do so.

Please verify that you are human*