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* 1. Active AMbassador or Max Club name (i.e. Your child's first name)

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* 2. What is their school name? (or Early Years setting that they attend)

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* 3. Your name (First name and surname)

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* 4. Your email address

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* 5. First line of your address

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* 6. Town

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* 7. Postcode

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* 8. Data Protection

Under the Data Protection Act 2018, we are required to gain your permission to keep personal details for you. Your data will not be used for any other purposes and will not be shared with other people, teams, departments or organisations. For further information please see https://activemovementschools.co.uk/privacy-policy/

Completing this form gives us your informed consent. If you have a query in relation to fair processing, please email peter@activemovement.co.uk.

 I consent to this Data Protection statement and to:

- Receive the Active AMbassador/Max Club material
- Receive regular health and wellbeing support updates from Active Movement
- For the school or setting name to be displayed on the Roll of Honour page www.publichealthslough.co.uk/campaigns/active-ambassador-list (No other information will be made available online)

Without your consent you will not be able to sign up.

You can change your mind at any time by contacting us at peter@activemovement.co.uk. We will treat your information with respect. For more information about our privacy practices please visit our website. By clicking above, you agree that we may process your information in accordance with these terms.

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