Sign Up For Our Summer Club Here

Child's contact and personal information

Full name:*

Date of birth:*

Gender assigned at birth:*

Address:*

Postcode:*

How would you describe your child’s ethnic origin?*

(e.g. White British, Black/Black British African, Asian/Asian British Pakistani)

Preferred language:*

Do you or your child need an interpreter?*

Yes
No

Child's Height:*

If you do not know this, please type N/A

Child's Weight:*

If you do not know this, please type N/A

Emergency contact details and personal information

Guardian name:*

Guardian relationship:*

Guardian mobile/telephone number:*

Guardian email:*

If your child is aged 14+, do you consent for them to walk themselves home?*

Yes
No

If you are unable to collect your child(ren) from the summer camp, please name the person(s) who will collect them instead.*

If this does not apply to you, please state ‘N/A’.

Does your child have any additional/complex needs?*

If no, please type ‘none’.

Consents

I consent to someone from the OneLife Suffolk team contacting me via:*

Telephone
Post
SMS/text message
Voicemail

Are you happy for us to contact you in future?*

Yes
No

Are you happy to for us to share your data with Leeds Becket university for research purposes?*

Yes
No

Are you happy for us to speak to any members in your household?*

Yes
No

Are you happy to consent to processing of your personal data? Having read out the statement* shown below:*

Yes
No

In order to attend a healthy lifestyle programme and monitor attendance and outcome data it is necessary to process your personal data to include your name, address, date of birth, contact details and health history. MoreLife will process your personal data as mentioned solely for the purpose of attendance and participation in a healthy lifestyle programme and the monitoring of outcomes. You can request to withdraw or vary your consent by application to the data controller (MoreLife), please see our privacy policy on our website: onelifesuffolk.co.uk/about/privacy-policy

Sign Up For Our Summer Club Here

OneLife Suffolk

Summer Club Sign Up Form

Child's contact and personal information

Emergency contact details and personal information

Consents

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