The Sex Clinic

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The Sex Clinic

1 minute form

Full Name *

How did you hear about us? If you were contacted by a member of our team, tell us who by

Phone Number *

DOB

Gender Identity

Sexual Orientation

Full Address & Postcode

Marital Status

Single

In a Relationship

Other:

Clear selection

As part of our casting process and as part of your contribution (if you are selected to take part in the Programme) you may be asked to provide information about any past criminal convictions and/or medical information and any other information known as “special category personal information” (which is information regarding racial or ethnic origin, political opinions, religious or philosophical beliefs, trade union membership, sexual orientation, genetic or biometric data). Unless it is required in order to comply with a particular legal obligation, such as to meet our safeguarding responsibilities, Firecracker and the broadcaster will only process this information with your explicit consent.I consent to the use of the following information by Firecracker and the broadcaster to consider my participation in the Programme and, if selected to record my contribution and produce the Programme: *

I agree to Firecracker processing information about my past criminal convictions and my special category information

I do not agree to Firecracker processing information about my past criminal convictions and my special category information

Thank you for taking part in our casting process to be a contributor on the Programme. Firecracker and the commissioning broadcaster will use your personal information only for the purposes of considering your application for this Programme, to carry out reasonable background checks to verify the information you provide to us, for administration and for related services should you be successful and where it is necessary in our legitimate interests to do so. Your personal information will not be passed to anyone else except where necessary to produce the Programme or where we are obliged to do so. If you hear nothing from us please assume that on this occasion your application has not been successful. Whether or not you are selected to be in the Programme, would you like Firecracker to keep your contact details on file for the purpose of casting for any future Firecracker programmes? *

I agree to Firecracker keeping my contact details on file for future Firecracker programmes

I do not agree to Firecracker keeping my contact details on file for future Firecracker programmes

Your application information will be retained by Firecracker for up to 7 years. If at any point you decide that you no longer want Firecracker to hold, use or process any of your personal information for the purpose of any future series of the Programme or you want to update your contact Firecracker details please contact the Data Protection Manager at dataprotection.enquiries@Tinopolis.tv so that we may update your records. By responding to this email and continuing with your application, you agree that we may share the information supplied with members of the production team and the commissioning broadcaster. For more information about how we use your personal information please read our group company privacy notice at http://www.tinopolis.com/privacy-notice/ *

I have read and understood the above

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