Network Ambassadors / Young People's Development Group Application

When a young person signs up as member of the Network Ambassadors and/or a Young People's Development Group, we will ask for personal information, which we will process in accordance with all applicable data protection laws. We may collect sensitive personal information, for example, information relating to health, disability and/or ethnic background. We collect this information to ensure our facilities are safe and inclusive and we can target support to specific groups.

Application Details

Which group/s are you part of?

Youth Zone

Young Person Details

First Name

Last Name

Preferred Name

Date of Birth

Address

Town/City

Post Code

Home Phone

Mobile

School/College/Employer

Gender Identity

Which of the following terms best describes the member's current gender identity?

Self describe

Same as sex at birth?

Is the gender the young person identifies with the same as their sex registered at birth?

Ethnicity

Self describe

Disability

Additional Needs

Medical Conditions

Emergency Contact Details

Please provide details for two emergency contacts.

Emergency Contact 1

This emergency contact must be a parent/guardian. If you are under 16, this must be the same person who completes the Parent/Guardian Agreement below.

Emergency Contact 1 Name

Relationship to Young Person

Emergency Contact 1 Phone

Emergency Contact 1 Email

Emergency Contact 1 Address

Emergency Contact 2

Emergency Contact 2 Name

Relationship to Young Person

Emergency Contact 2 Phone

Emergency Contact 2 Email

Agreement

Youth Zones are part of the OnSide Network. Membership information is administered by OnSide (registered charity number 1125893).

By signing up as a Group member, you (and your parent/guardian for under 16s) give consent for all meetings, trips and activities taking place as part of the Group. Events and meetings may take place at short notice, however whenever possible notice will be given

I understand that my personal information may be:

used to provide me with services and carry out administration in relation to my membership;
used to communicate with me (and my parent/guardian) about services and my membership by email, phone, SMS, post or other means. We never sell your information and you can change your mind at any time by contacting us;
shared with OnSide, partners, funders and/or sponsors as required for the purposes of the development, coordination and support of the Youth Zone network. List available from dpo@onsideyouthzones.org. We will require third parties to keep this information confidential.

Member image

The Youth Zone requires a member photo for the purpose of security. This image will not be used for any other purpose.

In addition, images may be recorded at Youth Zone activities on or off site.

I agree that my image (in photos or videos) may be used for marketing and publicity purposes in printed publications, on social or traditional media, on the Youth Zone or OnSide website or by other organisations that want to promote the Youth Zone or OnSide (e.g. schools, funding bodies and private sector organisations). If we would like to use your image for other purposes, such as a large campaign or promotion, we will ask you (and your parent / guardian for under 16s) for permission.

Parent / guardian agreement for under 16s

I confirm that I am the parent/guardian named above and agree to use of the member’s information as above.

I would like to receive further information about Youth Zone services and support opportunities by email, phone, SMS, post or other means. We never sell your information and you can change your mind at any time by contacting us.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Notice.

Contact Information