Attendee Information 2025
Please complete this form with details of the young person attending the club for our Club Census and to adhere to Health and Safety, Safeguarding, and GDPR policies. We need updated emergency contacts, health details, and census information annually for all members. Membership forms will be destroyed at the end of each year to comply with data protection laws.
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Young Person First Name *
Young Person Last Name *
Date of Birth *
Day, month, year
MM
/
DD
/
YYYY
Gender *
First line of address *
e.g. 30 Tean High street, Tean
Postcode *
e.g. ST10 4JY
Preferred email
We will use this information to send you important updates about Tean Youth Club. For example, opening time changes, special events, opportunities, etc. If we don't have your email we cannot send you updates!
Are you happy for us to send you updates from the club through email?
Clear selection
EMERGENCY CONTACT DETAILS
The ideal emergency contact would be able to answer a call and come to collect the young person from the club whilst attending on the Friday, 7-9pm
Emergency number (1) *
Emergency contact's name & relationship to young person (1) *
e.g. Denise, Mum
MORE ABOUT THE YOUNG PERSON
This allows our volunteers to get to know the young person better and this is used for our annual census.
Does the young person attend school/college? *
Required
If you are in school / college, what year are you in?
Clear selection
Where do you attend?
This helps us to know where potential friendship groups may be and where our members are coming from.
Clear selection
Do you consider the young person to have a disability?
Do you consider the young person to have a disability that the youth club should be aware of?
Only the volunteers will be told this information so they know what to do in the case of an emergency or if you are in need of support. 
If you have any questions, please speak to the volunteers.
Do you consider the young person to have a medical condition or allergies?
We regularly have food tasting sessions at the club so this is very important.
Is there anything else about the young person that you think the youth club should be aware of?
Please describe the young person's ethnic background *
This detail is used for our census purpose only.
Code of Conduct - I agree that I have read and understood *
Code of Conduct can be found on the Tean Youth Club website: https://www.teanyouth.club/what-we-do/get-involved (bottom of page).
Photographic Consent *
Do you consent for the young person to have photographs, video material or broadcasting material to be used by Tean Youth Club for the following uses: 
  1. Photographs taken of club activities for our website and leaflets to promote the club. 
  2. Photographs taken to promote the Youth Club in the local newspaper and magazine press. 
  3. Photographs to be uploaded to our group Facebook and Instagram pages (@TeanYouthClub) 
Signed *
Please sign below (with your name) that these details are correct. The information on this form will be processed by Tean Youth Club in accordance with the Data Protection Act 1998 and GDPR Legislation. The data you provide will be used for statistical purposes and kept securely under lock and key and on password protected devices. All membership forms will be destroyed and deleted at the end of each membership year to comply with the data protection legislation.
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