Real LIFE - Registration
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Title *
First Name *
Surname *
Address (including postcode) *
Contact Telephone Number *
Home Church / Place of Worship *
Which Location are you registering to attend Real LIFE *
Are you registering for: *
Please provide details of any disability you have or any other issues which we need to take into consideration to facilitate your participation in Real LIFE.
Ethnic Origin
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Please tick the box below to confirm that you consent to the Diocese of Southwell & Nottingham holding and processing your personal data for the following purposes: contacting me by phone or email to keep me informed about news, events and activities which are directly related to Real LIFE;* and passing my contact details onto their Safeguarding Officer.**

*Where you do not grant consent we will not be able to use your personal data; so for example we may not be able to let you know about news, events and activities relating to Real LIFE except in limited situations, such as where required to do so by law or to protect members of the public from serious harm. You can withdraw your consent at any time by contacting the Office Manager and Training Coordinator at the Diocese of Southwell and Nottingham, Jubilee House, Westgate, Southwell NG25 0JH or Please note that all processing of our personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any personal data that has already been processed prior to this point.

** The Church of England places the utmost importance on safeguarding, seeking always to promote and protect the welfare of adults and children. Any disclosures received during the duration of Real LIFE will be treated with sensitivity and care. Confidentiality cannot always be guaranteed and small group facilitators or group participants may feel it necessary to convey information to the Location Host(s) and/or the Principal of the School of Discipleship. Further sharing of this information with our Safeguarding Officer will only occur as and when the Principal of the School of Discipleship deems it necessary (or in the absence of the Principal of the School of Discipleship).
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