Street Participants Registration Form

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* 1. Which Street Project do they attend?

Youth Street Cricket (ages 11-15) - Djanogly Sherwood Academy (Wednesday 4:30-6:00pm)

Girls Street Cricket (ages 8-11) - Djanogly Sherwood Academy (Thursday 3:00-4:30pm)

Young Adults Street Cricket (ages 16-24) - Djanogly Sherwood Academy (Thursday 4:30-6:00pm)

Youth Street Cricket (ages 8-11) - Nottingham Academy/Wildcats Arena (Sunday 1:30-2:30pm)

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* 2. Participant First Name

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* 3. Participant Surname

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* 4. Date of Birth

Date of Birth

Date

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* 5. Postcode

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* 6. School

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* 7. Gender

Male

Female

Prefer not to say

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* 8. Ethnicity

White British

White European

Pakistani

Indian

Sri Lankan

Bangladeshi

Afghani

Arabic

Black Caribbean

Black African

White & Black Caribbean

White & Black African

White & Asian

Chinese

South American

Other ethnicity (please specify)

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* 9. Are they currently a member of a local cricket club?

Yes

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* 10. Do they currently attend a lunchtime or after school sport club/team at least once a week (not in a PE lesson)

Yes

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* 11. Other than in this Street session, do they currently attend a sport club/team outside of school at least once a week?

Yes

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* 12. Emergency Contact Name

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* 13. Relationship to Participant

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* 14. Emergency Phone Number

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* 15. Emergency Contact Email Address

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* 16. Medical Conditions / Requirements

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* 17. Media Consent - to be completed by parent or guardian for children under the age of 18

We may at times take photographs or make video recordings at sessions to promote the project, and may also have media visiting Chance to Shine sessions to cover our stories. To comply with the Data Protection Act 2018 and General Data Protection Regulations (EU) 2016/679 we need your permission before we can take any photographs or make recordings of your child.

Photographs and video recordings may be used on our website, www.chancetoshine.org, social media channels and any other printed, or video, materials for promoting the charity, including media publications and broadcasts. They may also be shared with our trusted partners for promoting our partnerships.

Chance to Shine Foundation is a charity (registered charity 1123385) that works to spread the power of cricket throughout schools and communities.
For full details of how we use your personal data please read our Privacy Policy and Data Protection Statement on our website (www.chancetoshine.org/privacy). You can withdraw your consent at any time by contacting us on the details contained within this Policy.

Do you consent to your child being filmed or photographed and used by Chance to Shine in accordance with the Privacy Policy and Data Protection Statement and as detailed above

Yes

Personal information provided will only be used anonymously for the purposes of evaluating the programme demographics. Full details of our privacy policy can be found on our website - www.chancetoshine.org/privacy