Toxteth EL8TE

Date of Birth*

MM/DD/YYYY

Email Address*

Phone*

Ethnicity*

White

English/Welsh/Scottish/Northern Irish/British

Irish

Gypsy or Irish Traveller

Any Other White background (please specify)

Mixed/Multiple Ethnic Groups

White and Black Caribbean

White and Black African

White and Asian

Any Other Mixed/Multiple ethnic background (please specify)

Asian/Asian British

Indian

Pakistani

Bangladeshi

Chinese

Any Other Asian background (please specify)

Black/African/Caribbean/Black British

African

Caribbean

Bangladeshi

Chinese

Any Other Black/African/Caribbean background (please specify)

Other

Arab

Any Other ethnic group (please specify)

Address*

Post Code*

Guardian

Name of parent / carer of child under 16 (if applicable)

Emergency Contact*

Full name

Email

Phone

Any food allergies?

School Attended

Current Club (If any)

Are you eligible for benefit related free school meals?

Does your child have any other related needs that we need to be aware of?

Declarations

By participating in any session delivered or provided by Toxteth El8te, you acknowledge that you are doing so at your own risk and will take reasonable precautions to safeguard yourself during your participation. You are responsible for any personal property you bring to the open session. The organiser (along with its members, directors, officers, employees, volunteers, contractors, or agents) will not be held liable to the extent permitted by law for any loss, injury, or damage you may incur in connection with your participation. You declare that you are medically fit to participate.

Declaration of consent – parent / carer of child under 16 (if applicable)

I give permission to take photographs and / or video of myself. I grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group's aims.

As part of Toxteth El8te's dedication to fostering community development, we engage in various research activities. These initiatives are integral to our commitment to growth and understanding within the community. Please be aware that findings from our research may be shared publicly, including potential publication in academic journals or presentations at conferences. We want to assure you that in disseminating these results, we prioritise your privacy. Individual identities will remain confidential, and no personal information will be disclosed in any published or presented material. By signing this form, you acknowledge your understanding and consent to the use of the research data as described above.

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Open Sessions Registration