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ARCA Generation Sign-Up Form
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First name
*
Your answer
Surname
*
Your answer
Date of birth
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MM
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DD
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YYYY
Gender
*
Choose
Female
Male
Prefer not to say
Nationality
*
Your answer
Nationality
Your answer
City of birth
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Your answer
Arrived in the UK on...
MM
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DD
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YYYY
Languages spoken
*
Your answer
Home address
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Your answer
Postcode
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Your answer
Mobile
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Your answer
WhatsApp Number
*
Your answer
Email address
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Your answer
Ethnicity
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Choose
Asian
Arab
Asian Other
Black African
Black Caribbean
Black British
Black other
Gypsy or other Traveller
Mixed White and Black Caribbean
Mixed White and Black African
Mixed White and Asian
Mixed Other
White British
White European
White Other
South American
Oriental
Religion
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Choose
Athiest
Agnostic
Christian (Catholic/Anglican/Orthodox)
Christian (Protestant/Evangelical)
Buddhist
Hindu
Jewish
Muslim
Profession
Your answer
How did you hear about Arca?
*
Your answer
If minor:
Please complete this section if the person in this register is under the age of 18.
Mother's name
Your answer
Father's name
Your answer
School/College
Your answer
Permission for field trips
Yes
No
Clear selection
Activities
Register your interest for our activities:
*
Creative Arts and Jewellery Making
Cycling Club
Futsal / Football
Youth leadership
Careers advice
English Class
Bible Study / Fellowship
Hand Ball
Volley Ball
Music
Other:
Required
Would you like to volunteer with us?
Yes
No
Clear selection
If yes, what would you like to help with?
Your answer
Emergency Contact Details
Emergency contact name
*
Your answer
Emergency contact number
*
Your answer
Relationship:
*
Your answer
Do you have any medical conditions, allergies or disability?
*
Yes
No
If yes, please specify:
Your answer
Declaration
Gift Aid It (I am a UK taxpayer and I understand that the charity will reclaim 20p of tax on every £1 that I donate to ARCA)
*
Yes
No
In signing this form I allow ARCA generation to take pictures and videos of myself (or the minor on this form) and to use them in publicity, social media and any other purpose to help achieve the group's aims
*
Yes
No
I understand that I will be asked to sign a paper version of this form at ARCA's centre, to confirm my details, before I start assisting to the activities.
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