Gendered Intelligence Parent/CarerMembership Form
For more information about becoming a member of Gendered Intelligence, including information on how to pay your membership fee, please see our Gendered Intelligence Member Welcome Pack: Parent and Carer Members.

Membership will be charged annually and begin on the date that we receive your membership fee. Membership will be priced per household, with a discounted concessionary rate.

Please select a membership rate by ticking one box:
The discounted rate is available for unwaged or low-income households, those in receipt of benefits (including state pension) or for those who would otherwise be unable to pay the full fee. If you unsure whether you qualify, or you are unable to pay the fee in one go, please get in touch at admin@genderedintelligence.co.uk.
Date of completing the form
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/
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/
YYYY
Parent /Carer 1
Name (Please include your surname)
Your answer
Email Address
Your answer
Would you like to be added to our email list?
Home Address
Just for our info, we won’t send anything without your knowledge.
Your answer
Contact telephone number
Your answer
Do you have any allergies or medical requirements we need to be aware of?
Your answer
Do you have any access needs that we should be aware of in order for you to enjoy the group sessions?
(e.g. session plans, dietary requirements, additional languages, mobility or signing facilities. We may not be able to accommodate all but will feed into future funding applications.)
Your answer
Does your Child attend a GI youth group?
If yes, what is their name?
Your answer
Consent for using photographic images
Sometime we take photos and video footage of our activities. This is used in various ways, such as forming reports, in presentations and online. We would like you to consider consenting to your image being taken. We will never put your name next to your image, however you will be recognisable. Please select one of the following options.
Code of Conduct: I’ve read and understand the GI Code of Conduct and agree to follow it.
Parent /Carer 2
Name (Please include your surname)
Your answer
Email Address
Your answer
Would you like to be added to our email list?
Do you have any access needs that we should be aware of in order for you to enjoy the group sessions?
(e.g. session plans, dietary requirements, additional languages, mobility or signing facilities. We may not be able to accommodate all but will feed into future funding applications.)
Your answer
Home Address
Just for our info, we won’t send anything without your knowledge.
Your answer
Contact telephone number
Your answer
Do you have any allergies or medical requirements we need to be aware of?
Your answer
Do you have any access needs that we should be aware of in order for you to enjoy the group sessions?
(e.g. session plans, dietary requirements, additional languages, mobility or signing facilities. We may not be able to accommodate all but will feed into future funding applications.)
Your answer
Consent for using photographic images
Sometime we take photos and video footage of our activities. This is used in various ways, such as forming reports, in presentations and online. We would like you to consider consenting to your image being taken. We will never put your name next to your image, however you will be recognisable. Please select one of the following options.
Code of Conduct: I’ve read and understand the GI Code of Conduct and agree to follow it
Submit
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