Please complete this form to register with CACT. If you are under 16 (or up to 25 with special educational needs & disabilities), this must be completed by a parent or guardian.
First Name
*
Last Name
*
Email
*
Date of birth
*
Gender
*
Male
Female
Transgender male
Transgender female
Non binary
Faith
*
Contact telephone number
*
Postcode
*
What is your/your child's status?
*
Student
Employed
Unemployed
How did you find out about Young Greenwich?
*
Youth worker
Friend
School
Leaflet
Other
CACT requires the following information to ensure the health and safety of a child or young adult who is participating in an activity and for CACT's Monitoring & Evaluation purposes
Disability
*
Yes
No
If yes, please state
Allergies
*
Yes
No
If yes, please state
Ethnicity
*
Please enter emergency contact details (including name, relationship, phone number & address)
*
CACT activities may be recorded through photographs and video both for the participant to celebrate their experiences. CACT will only ever use your image where you have given us consent to do so. If you change your mind and wish to withdraw consent for use of your image at any time, please contact kathy.smart@cact.org.uk. If you would like to support CACT by providing consent for us to use your image, please complete this form.
I provide consent for
*
Use of your image for promotional purposes may include their use in the following: Website, Social Media, Printed Material (eg. Leaflets), Press Releases, Video, Evaluation Reports, Funding Bids, Case studies
Please contact me via
I would like to receive marketing material from Charlton Athletic via
As a supporter of CACT, I would like to receive information on the following
By selecting this check box, you are consenting to us using your/your child's personal information for the purposes of this service only; this includes collecting and storing data for monitoring and evaluation purposes and to safeguard participants. All personal data, including sensitive data, will be processed fairly and lawfully. All data will be processed securely with appropriate controls in place. Data shared with 3rd parties to fulfil contractual obligations will be processed via secure email. You can find CACT’s full Privacy Notice at cact.org.uk/policies.
*
I agree
Relationship to participant
*
Self
Parent/guardian (if under 16 or up to 25 with special educational needs & disabilities)
Terms and conditions: CACT will keep your information on file along with any photo/video footage. In the event that you withdraw your consent for any reason, this information will be removed from our files and destroyed. Images that have already been published cannot be withdrawn. We generally do not use images older than five years. In the event that CACT’s consent policy changes, you will be notified of such changes, and will have the option to revise your preferences with regard to our use of your personal data. Charlton Athletic Community Trust is the trading name of the South of England Foundation, registered charity number 1096222.
