REGISTRATION FORM

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REGISTRATION FORM

Weavers Community Forum offers many services for the community and local residents. This online form should be completed to register for any and all of the services and provisions. This form will also act as a membership form. See our website for more information about our key projects. www.weaversform.org

PLEASE READ THE BELOW DATA USE NOTICE AND COMMUNITY GUIDELINES

PERMISSION;
Please read the statements below and confirm. Most of the below refers to Digital Services when we introduce them in the future NOT applicable to some of our services such as 1-2-1 Telephone services.

I understand that if my child dose sharing video and audio, they can be seen/ heard by all other participants and host/staff and they are responsible for what they are saying and sharing with others. (all participants/parents of participants must agree to the following, all staff are appropriately vetted, any safeguarding concerns are reported in-line with policy)

I give weavers Community Forum permission to collect and store information about me or my child and the services I access for monitoring purposes.
I understand that the data collected may be shared with the London Borough of Tower Hamlets and partner organisations.
I understand that any data collected will be held in accordance with the General Data Protection Regulation.
I consent to the information provided in this form being used for the purposes of processing this application
I consent to the sessions being recorded and stored in line with GDPR regulation
I agree for any multimedia information (e.g. photos/videos) including session recordings or clips to be used for Weavers Community Forum marketing & publicity material.
I give consent for Weavers Community Forum to contact me by email, SMS, What's App, phone call or post to inform me about other or new services.

PLEASE ENSURE YOU AND/OR YOUR CHILD (if applicable) HAVE READ THE FOLLOWING AND AGREE TO THE FOLLOWING:

COMMUNITY GUIDELINES;
I will be kind to other participants and always try to help create an atmosphere which celebrates hard work and creativity.
I will not screenshot, record, or photograph anyone without their permission
I will not share any sensitive information which could potential put you or others at risk
I will not bully, intimidate or harass any user.
I will not upload viruses or other malicious code.
I will not solicit login information or access an account belonging to someone else.
I will not post content that: is hate speech, threatening or pornographic; incites violence; or contains nudity or graphic or gratuitous violence.
I will not post unauthorised commercial communications (such as spam).
I will not engage in unlawful multi-level marketing, such as a pyramid scheme.

SAFEGUARDING;
Any safeguarding concerns are reported in line with our policy and will be actioned as appropriate by our safeguarding lead. Please also be aware that staff numbers in the sessions are the same ratio as regular sessions. All sessions may be recorded and stored for safeguarding purposes in line with GDPR regulations.
*Required

Email *

IF YOU ARE UNDER THE AGE OF 12 YOU WILL NOT BE ABLE TO USE THIS SERVICE. PLEASE START BY SELECT ONE OF THE FOLLOWING *

I AM UNDER 12 YEARS OLD

I AM OVER THE AGE OF 12 AND REGISTERING MYSELF

I AM A PARENT REGISTERING MY CHILD

Other:

FULL NAME (Person being registered) * *

DATE OF BIRTH *

YYYY

FULL HOME ADDRESS INCLUDING POST CODE *

TELEPHONE NUMBER (LAND LINE & MOBILE) *

Which Weavers Community Forum Project are you registering for? *

AYP - Active Youth Project

FBS - Food Bank Support Service

ETA - Employment, Training & Advice Project

H&W - Health and Wellbeing Project

Volunteering

Support /Donation / Patrons Club

Other:

Do you consider yourself to have a disability (Mental or Physical)? If yes please provide details *

IF YES TO ABOVE - state the type(s) of disability.

Sensory impairment, (such as being blind / having a visual impairment or being deaf / having a hearing impairment)

Physical impairment, (such as using a wheelchair to get around and / or difficulty using your arms)

Learning disability, (such as Downs syndrome or dyslexia) or cognitive impairment (such as autism or head-injury)

Mental health condition, (such as depression or schizophrenia)

Long-standing illness or health condition (such as cancer, HIV, diabetes, chronic heart disease, or epilepsy)

NONE

Other:

Clear selection

What is your religious belief?

How would you describe your (or your child's ethnic origin)? *

White British

White Irish

Traveller of Irish Heritage

Gypsy/Roma

Bangladeshi

Pakistani

Indian

Chinese

Japanese

Black African

Black Caribbean

White & Black Caribbean

White & Black African

White & Asian

Other:

What is your gender? *

Female

Male

Prefer not to say

Other:

Please confirm your Education/ Employment status?

I am Unemployed and/or Economically Inactive

Part-time Employment

Part-time Education and/or Training

Full-time Employment

Full-time Education

Other:

Clear selection

EMERGENCY CONTACT NAME AND RELATION TO YOU

EMERGENCY CONTACT TELEPHONE NUMBER

How did you find out about Weavers Community Forum? and please also provide some additional information about the support you require (or your needs and wants). If your applying for a volunteer role then what skills, experience and qualifications do you have.

PLEASE READ THE CONSENT NOTICE IN THE DESCRIPTION OF THE FORM. PLEASE CONFIRM YOU HAVE READ, UNDERSTAND, AND CONSENT TO THE STATED USE OF THIS AND TO OUR TERMS OF USE. *

I AGREE

Required

PLEASE READ THE COMMUNITY GUIDELINES IN THE DESCRIPTION OF THE FORM. PLEASE CONFIRM YOU HAVE READ AND UNDERSTAND THE GUIDELINES AND THAT VIOLATING THESE GUIDELINES CAN RESULT IN YOU OR YOUR CHILD BEING BANNED FROM THE SERVICE. *

I AGREE

Required

PLEASE WRITE YOUR FULL NAME & THE DATE WHICH WILL ACT AS YOUR DIGITAL SIGNATURE *

Submit

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