Lifeafterhummus Community Benefit Society's (FCA Registration no. 7808) Nutrition and Cooking Class Registration form
As a provider of services directly to the public and for private, public and voluntary sector organisations it is necessary for Lifeafterhummus Community Benefit Society to collect and process personal data.  As our services generate health and wellbeing outcomes for individuals, it is also necessary for us to process sensitive personal data which helps us demonstrate the impact of our services. One of the ways we achieve this is by collecting data from this registration form.  At the end of the session you will be asked to fill out an evaluation form. This is a legitimate interest as it is both crucial to our commercial viability (demonstrating capability and impact including to our funders and our curriculum provider; the Physicians Committee for Responsible Medicine (PCRM.org) and the achievement of our objects as a Community Benefit Society, a copy of which you can see on our website: www.lifeafterhummus.com 
After the class you will find the majority of resources posted on our facebook page: www.facebook.com/lifeafterhummus however we may also need to email resources to you for which we will use your email address below. For a copy of our Privacy and GDPR Policy please visit our website: www.lifeafterhummus.com 
Sign in to Google to save your progress. Learn more
Email *
There is no need to register twice, you can skip this form if we already have your details; just turn up for the event. Filling this form online helps to save time. You can also complete the registration in person upon arrival.
Please tick the following if you would like to be: *
Required
What is your first name? *
What is your last (family) name? *
What is your postcode? *
What is the first line of your address? *
What is your telephone number? This is optional:
Are you a cancer survivor? *
What is your gender? *
What year were you born? *
What is your Ethnicity: Please tick *
The information presented in the classes and through the materials is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor.
Declaration *
Please tick to confirm
I understand that food prepared during this nutrition and cooking class may contain COMMON ALLERGENS, and I hereby assume any risk(s) of personal injury or illness that may result from consuming or handling this food.
I hereby give Lifeafterhummus Community Benefit Society Limited (FCA Registration no. 7808) the absolute right and permission, with respect to any film, photography, video or audio recordings being made of me and with respect to my participation in this class: a) To copyright, use, re-use, publish, and re-publish the same in whole or in part, in any medium; and b) To use my name in conjunction therewith, if so desired. I understand that I will receive no compensation, monetary or otherwise, in exchange for this agreement or for the use of these photographs, film, and video or audio recordings. Written consent from a parent or guardian is required for anyone under the age of 16.
I consent to Lifeafterhummus Community Benefit Society Limited, their funders and the Physicians Committee for Responsible Medicine processing data regarding my Ethnicity or health for the purpose of demonstrating the health benefits of this nutrition and cooking class.
I confirm I am the person named in this registration form.
Thank you for understanding and taking the time to fill out this registration form.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy