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Club Zone One - Good for Girl 2022
Registration Form
To take part in our female youth programme, please fill out the form below.
*Required
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Email
*
Your email
First Name
*
Your answer
Surname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Gender
*
Male
Female
Transgender
Non-binary
Prefer not to say
Ethnicity
*
White British
White European
Black | Black British African
Black | Black British Somali
Asian | Asian British Bangladeshi
Asian | Asian British Pakistani
Asian | Asian British Indian
Any Other Group
Mobile Phone
*
Your answer
Address
*
Your answer
Post Code
*
Your answer
Are you a resident of
*
Tower Hamlets Homes
Gateway Housing Association
Tower Hamlets Community Housing
None of the Above
Required
Emergency Contact: Name, Relationship, Contact Number and Email
*
Your answer
Does the young person have a disability or special needs that we should be aware of?
*
Your answer
Which of the weekly sessions would you like to take part in?
*
Saturday 14 May 2022, 12:00-14:00
Saturday 21 May 2022, 12:00-14:00
Saturday 28 May 2022, 12:00-14:00
Required
Are you able to travel and attend the activities you have chosen? *
*
Yes
No
I need help with travel costs
I consent to Trapped in Zone One using photographs and/or video recordings taken during the activities for the purposes of internally and externally promoting Trapped in Zone One. These images could be used in any media including print and digital media formats such as press/local paper, website, e-marketing, posters, promotional leaflets, banners, advertising, film and social media purposes. If you wish to discuss any matter further, please contact
hello@trappedinzoneone.com
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Trapped Zone One is committed to processing information in accordance with the General Data Protection Regulation (GDPR). I give consent for my personal information to be used for the monitoring and evaluation purposes of this project.
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