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SCHOOL FOR STARTUPS

REGISTRATION FORM

PERSONAL DETAILS
Gender
EMERGENCY CONTACT DETAILS

Where you are providing information about another person on the form below, you confirm that you have their permission to provide us with their details. We will only use their information for the purposes specified and they can request that we stop storing information about them at any time by contacting the Hub. You agree that if the information about the person changes, you will inform the Hub so that we are able to update our records.

Medical Details
DIVERSITY INFORMATION

Information on members’ gender, ethnicity, religion or faith, and disability is requested by Oasis Community Hub: Henderson Avenue to help in monitoring its membership. The data will help us in understanding the makeup of the membership, monitoring progress against its inclusivity goals, and prioritising development work both nationally and locally.

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DISABILITIES
Do you consider yourself to have a learning difficulty and/or disability and/or health problems?
If yes, please tick any relevant boxes and provide details if you wish:

Guidance


Developmental – ADHD/ADD, Autistic Spectrum Disorder, Dyslexia, Dyspraxia

Injury – Body, Brain


Physical – Spina Bifida, Down’s Syndrome, Other

Medical – Allergies, Arthritis, Asthma, Diabetes, Epilepsy, ME/Chronic Fatigue, Other

Mental Health – Bipolar, Depression, Eating Disorder, Self-harm, Other


Progressive – Muscular Dystrophy, Other

Sensory – Hearing, Vision, Other

EMPLOYMENT STATUS
BUSINESS DETAILS

(Only complete if you have ticked Self Employed / Business Owner in the Employment Section)

WHERE DID YOU HEAR ABOUT US?
USE OF DATA

By signing below, I confirm that the above information is complete and correct. Oasis Community Hub: Henderson
Avenue will process this data in relation to Hub Activities. This data will be retained in line with our data retention policy
which is available on request.

 

Oasis Community Hub: Henderson Avenue is committed to protecting your privacy and will process your data in accordance with GDPR 2018. Your data will only be used in relation to holiday activities. This includes sharing data with Oasis Community Learning and North Lincolnshire Council as part of the project. (you may wish to read their privacy statement. Beyond this, your personal data will only be accessed by relevant Hub staff and volunteers as appropriate. It will not be passed onto any other organisations unless we have your consent to do so, or a legal obligation. A full data privacy notice is available from the Hub on request or can be found on our website.

CONSENT FOR PUBLICATION OF IMAGES, VIDEO

At various times, including as part of Hub activities, we capture photographs and videos to show the wider life of the Hub. This includes recorded Zoom Meetings and Webinars. These images may include the pictures of you individually or as part of a group. Oasis Community Hub: Henderson Avenue would like to make use of these images for various purposes including in promotional and other marketing materials.

Please indicate your consent for the use of these images and videos for the purposes by selecting one of the responses below
I consent to the following to be displayed of me:

Photographs
Videos
CONSENT FOR MARKETING ACTIVITIES

We would like to send you communications periodically about events and activities that form part of the extended wider life of the Hub community. This may include fundraising appeals, information about events, and promotional activities. If you would like to receive such communication, Please indicate which forms of communication you would be happy to receive by selecting one of the responses below:

Get in touch

Phone Number

07557083263

Email Address

Office Address

Park Library, Ave Vivian, Scunthorpe, DN15 8LG

Care to stay in touch?

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