Membership Form
Please complete this form if you would like to become a member of Building Blocks Family Centre, as a charity it is important to us that our members who use our services have a direct say in the running of the charity.  To do this you do need to become a member.  
Email *
Full Name *
Organisation (if applicable)
Address including post code *
Telephone *
Email *
What type of membership are you applying for: *
What information would you like to receive from Building Blocks as a member (please tick) *
Required
Due to Charity Regulations as a member we will need to notify you of our annual general meeting.  Can you please confirm how you wish to receive this information. *
Data Protection - How we use your information.
One of the requirements of the GDPR is that we make our Privacy Notice accessible. We can email this to you and if you would like a copy please confirm this in the following box.

1.the right to access: You may request a copy of your information for free at any time by emailing us. Your records are identifiable, retrievable and intelligible as per applicable data protection requirements. We will comply within 30 days.
2. the right to rectification: You may update any of the information we hold for you at any time. We will amend them immediately.
3. the right to erasure: You may request that we erase your data. We will comply within 30 days unless we cannot for legal 4. reasons.
4. the right to restrict processing: You may request that we restrict how we process your data. We will comply within 30 days unless we cannot for legal reasons.
5. the right to object to processing: You may object to us processing your data. We will comply within 30 days unless we cannot for legal reasons.
6. the right to data portability: Your data is retrievable and may be able to be moved if necessary.
7. the right to complain to a supervisory authority: If you believe we have contravened applicable data protection legislation, you may contact the ICO.
8. the right to withdraw consent: You may withdraw your consent for us to hold your information. We will comply immediately unless we cannot for legal reasons.
9. the right to request information about the existence of automated decision-making, including profiling.
10. the right to be notified if your personal data is rectified or erased, or processing is restricted, in accordance with the above.


We will retain the following information gathered from the Membership Form:      Full Name, Address inc post code; telephone; email; membership status; information requirements.  This information will be retained for the length of your membership or until you tell us otherwise in line with above Rights. *
Required
Signature *
Date *
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