FU3A Coordinators/Committee Data Consent Form
As a group coordinator and/or member of the committee you will be aware that basic contact details for example first name, telephone number and in some cases email address is our displayed on the website and in our newsletter. In order to comply with the data protection act we need to formalise your consent to have these contact details available on both the website and the newsletter.

I consent to the following contact details being available on the website and newsletter (please complete the details below as appropriate).

Name of Group/Groups you coordinate:
Your answer
Your First Name:
Your answer
Your Email Address
Your answer
Your Telephone Number
Your answer
Please tick those you consent to:
Required
Full Name (will act as signature):
Your answer
Date:
MM
/
DD
/
YYYY
Submit
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