NEWARK YOUTH LONDON ONLINE REGISTRATION FORM
Newark Youth London has launched a digital service to bring our high quality community and sports work to the community of Tower Hamlets online. We will offer information, advice, and support to reassure the community and help them stay connected and productive during this difficult period. Our Youth Workers and Coaches will run sessions every weekday at via ZOOM. Sessions will include Information and Workshops, Quizzes, and Physical Fitness and Well-being sessions for young people aged 10-19, a Women Only Fitness class for women aged 18+, and a digital version of our existing female empowerment programme Girls in Action.
PHYSICAL FITNESS AND WELL-BEING - On lockdown it can be hard to stay active but our Sports development team are here with fun short sessions for all of our young people to stay fit and healthy. These sessions are aimed at all young people regardless of fitness level, age, or gender and can be completed with small amounts of space.
INFORMATION AND WORKSHOPS - Our workshops while still fun and engaging will discuss important topics with young people to improve their understanding and resilience in dealing with key issues such as; Dealing with Misinformation online, Staying Positive (Mental Health, Meditation, and Communication), Staying Safe Online (Cyber-Bullying, Cyber-security, and Safeguarding), Supporting Friends and Family, Productive ways to Self isolate ( Language Learning, Online Courses, and Volunteering) and Knowing your Rights (Employment, Education and Support).
QUIZZES- A fun activity where young people can engage in fun all ages quizzes on a Friday night by themselves or with family members playing against other young people on Kahoot in real time.
We are also working as hard as we can to work with other organisations to share activities and opportunities to offer the young people we work with as much support as possible.
MONDAY 4pm - Physical Fitness & Well-being
TUESDAY 4pm - Information and Workshops
TUESDAY 5:30pm - Women Only Fitness
WEDNESDAY 4pm - Physical Fitness and Well-being
THURSDAY 4pm - Girls in Action
FRIDAY 4pm - Quiz
We also be running fun daily challenges through our social media channels to keep people smiling in the difficult and trying time.
PLEASE READ THE BELOW DATA USE NOTICE AND COMMUNITY GUIDELINES
Please read the statements below and confirm below.
I understand that when my child is 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 Newark Youth London permission to collect and store information about 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 Newark Youth London marketing & publicity material.
I give consent for Newark to contact me by email, SMS, WhatsApp, Phone call or post to inform me about other or new services.
PLEASE ENSURE YOU AND YOU CHILD HAVE READ THE FOLLOWING AND THAT YOUR CHILD AGREES TO THE FOLLOWING
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.
Any safeguarding concerns are reported in line with our policy and will be auctioned 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 are also recorded and stored for safeguarding purposes in line with GDPR regulations.
IF YOU ARE UNDER THE AGE OF 13 YOU REQUIRE PARENTAL CONSENT TO USE THE SERVICE AND TO COMPLETE REGISTRATION. PLEASE SELECT ONE OF THE FOLLOWING ( ALL ANSWERS OTHER THAN EMERGENCY CONTACT SHOULD BE POPULATED USING THE YOUNG PERSONS DETAILS NOT THOSE OF THE PARENT)
I AM AGED THIRTEEN OR ABOVE AND AM REGISTERING MYSELF
I AM A PARENT REGISTERING MY CHILD
PLEASE STATE YOUR FULL NAME/ THE FULL NAME OF YOUR CHILD
PLEASE STATE YOUR DATE OF BIRTH/ THE DATE OF BIRTH OF YOUR CHILD
PLEASE STATE YOUR FULL ADDRESS/ THE FULL ADDRESS OF YOUR CHILD
PLEASE STATE YOUR EMAIL/ THE EMAIL ADDRESS OF YOUR CHILD
TELEPHONE NUMBER/ THE TELEPHONE NUMBER OF YOUR CHILD
Do you consider yourself/ your child to have a disability?
IF YES, please state the type(s) of disability that applies to you/ your child? Please tick all the boxes which apply.
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)
What is your/ your child's religious belief?
Prefer not to say
Other (please specify below)
What is your gender?
Prefer not to say
How would you define your sexual orientation?
Bisexual (an attraction to both men and women)
Gay woman / Lesbian
Heterosexual/Straight (an attraction to opposite sex)
Prefer not to say
Reason for Joining? (SELECT ALL THAT APPLY)
Socialise with friends
Meet new people / make new friends
Want careers & employment advice
Learn something new / gain new skills
To get exercise
To get help, support & advice
Been asked to attend youth club
To play games
How would you describe your/your childs ethnic origin?
Traveller of Irish Heritage
White & Black Caribbean
White & Black African
White & Asian
Confirm your education/ Employment status?
Part- Time Education
Part- Time Employment
Not in Employment or Education
where do you/ does your child study/ work?
When did you/ your child's start your/your child's current school/ job?
If you are currently in school what school year are you?
EMERGENCY CONTACT NAME (IF COMPLETING AS A PARENT THIS MUST BE YOU)
EMERGENCY CONTACT'S RELATION TO YOU (i.e Father, Mother, Grandfather, Stepfather)
EMERGENCY CONTACT ADDRESS
EMERGENCY CONTACT TELEPHONE NUMBER
EMERGENCY CONTACT EMAIL ADDRESS
Are you/ is your child participating in the Girls in Action Program
Are you registering as part of the Sir John Cass D of E program.
Are you Register as part of Newark Summer Program online sessions 11am-12pm Monday to Friday.
Are you eligible for free school meals?
What is your/ your Childs's Unique Pupil Number? ( write not known if you don't know it )
Who referred you to us? Stating your referrer and then attend a session makes them eligible to win the community advocate award.
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/YOUR CHILD BEING BANNED FROM THE SERVICE AND POTENTIALLY ALL OTHER NEWARK SERVICES.
PLEASE STATE YOUR USERNAME FOR THE SERVICE THIS SHOULD BE YOUR FIRST NAME FOLLOWED BY YOUR LAST INITIAL FOLLOWED BY A NUMBER i.e. WilliamE89 . SPECIFYING YOUR USERNAME BEFOREHAND ALLOWS US TO APPROVE ONLY REGISTERED YOUNG PEOPLE INTO THE SESSIONS, HELP UPHOLD THE COMMUNITY GUIDELINES, AND LINK YOU/ YOUR CHILD TO YOUR INFORMATION IN THE EVENT OF EMERGENCY. (ALL STAFF IN SESSIONS WILL BE IDENTIFIABLE BY THEIR FULL NAMES)
PLEASE WRITE YOUR FULL NAME AND THE DATE WHICH WILL ACT AS YOUR DIGITAL SIGNATURE.
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