Walking Club
Join us very Wednesday 6-7:30pm for chat and stroll to gain mental and physical health benefits. We will be exploring Barking with different routes  together.
Notes on Membership
Creative Wellness Fitness Club accepts no liability for any loss or injury resulting from participation in club events or activities. 
Email:hello@creativewellness.uk
Sign in to Google to save your progress. Learn more
Full Name *
Child or Adult *
How many children attending each session? *
Your Address (Street name & Post code) *
Your Mobile number *
Email address *
Your Date of birth *
MM
/
DD
/
YYYY
Your Ethnicity *
Do you have any medical conditions (in case of emegency)? If so, please tell us *
Your next of kin name & emergency contact number *
Photo/Video consent                                                                         At times the Club may wish to take photos or videos of the team or individuals in it. We adhere to the Guidelines to ensure these are safe and respectful and used solely for the purposes for which they are intended, which is promotion and celebration of the activities of the Club and for training purposes. Please indicate if this is acceptable to you
*
Medical consent                                                                      In the event that the registered participant is injured during the session, and the contact/emergency contact cannot be contacted on the above number, I hereby give my consent for the player to receive medical attention. Participant requiring medication i.e inhaler must bring it clearly labelled.
*

GDPR & Consent Form

How your information about you will be used

Personal information which you supply to us for the provision of these services may also be used for: 

Service ReviewResearch and evaluationCommunication

This will help us understand who uses the service, how helpful the service is to residents and how we can improve it.
We will not disclose any information to any organization apart from Creative Wellness Wonder unless required to do so by law.
Where Creative Wellness Wonder shares any information with the funders, your data will be anonymized, and used only for the purpose of service evaluation.

Your declaration:

I agree that personal information about me will be shared with the funders in an anonymized form.
 I understand that I have the right to restrict what information may be shared and with whom.
 I understand that I may withdraw my consent to share information at any time and that this may result in a reduction of services being available.
I understand I can request to see the information held about me as this service upon request.

Service Review and Evaluation

I agree that where personal information about me is used for evaluation, safeguards will ensure respect for my personal information. All identifiable information will be removed.
Where my personal information is processed for statistical purposes, the conditions and safeguards above will apply although if such rights are likely to render impossible or seriously impair the achievement of the specific purpose of the statistical analysis it will be necessary to include some of your details, as necessary for the fulfilment of the statistical purpose.

Communication

I agree for Creative Wellness Wonder to hold my personal contact details to inform me about the new programmes, events, and activities.

 

Do you consent?


*
WhatsApp group consent
For effective communication can we add your number to the walking what's app group?
*
Creative Wellness Walking Club accepts no liability for any loss or injury resulting from participation in club events or activities.
Captionless Image
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