Support
Counselling
Mentoring
Social Skills Groups
The Art Project
Advice & Support
Clubs
Youth Clubs
Friday Youth Club
Sports Club
Performing Arts
Gardening Club
Music Mentoring
Young Volunteers
Young Voices
Wellbeing Clubs
LGBT Club
Young Carers
QT Club
Thundersley Youth
School Holiday Clubs
Community
Outreach & Detached
Education Workshops
Events
Donate
Club Sign-up
All clubs are free and held at Yellow Door Youth Hub unless otherwise stated.
Club Sign-up
Details of Attendee
Name of child
Date of birth
Address (Including postcode)
Address
Town
Postcode
Any medical conditions
Dietary needs (Including any allergies)
Any additional information we should be aware of
Details of Parent or Carer
Parent/Carers name
Phone number
Email
Emergency Contact
Emergency contact name (we will contact parent/carer first)
Emergency contact phone number
Clubs Attending
Next Level, Monday 6.30 p.m. to 8 p.m.
Young Voices 4.30 p.m. to 6 p.m.
LGBT Club, Tuesday 5.30 p.m. to 7 p.m.
Young Carers Club, Wednesday Bi weekly, 6.30 p.m. to 8.30 p.m.
QT Club, Thursday, 5.30 p.m. to 7.30 p.m.
Sports Club, 4 p.m. to 5.30 p.m at Waterside Leisure Centre, Sommes Avenue
Youth Club, 6 p.m. to 8 p.m.
Consent
Do you give consent for your child to receive the necessary First Aid Treatment?
Yes
No
Photo Consent
I consent to my child being photographed while involved in Yellow Door (Canvey Island Youth Project) activities. These may be used in displays and to promote the charity, on websites and social media.
I do not consent to my child being photographed while involved in Yellow Door (Canvey Island Youth Project) activities.
I have read and agree to the Date and Privacy Information below
Paper forms will be kept in a locked cabinet. Membership forms and session registers will also be kept electronically. We will share this information with Essex Youth Service. This data will only be used internally by Essex Youth Service and will not be shared with any other organisation by them. If you are booked onto holiday clubs, your data will also be shared with the Active Essex HAF Programme, our funding partners for the holiday programme. If you would like to see their privacy information, please let us know. The only other time we will share your information or your child’s will be when we are legally obliged to do so, e.g., for safeguarding, or when you give us specific permission. We will use your information • To contact you and your children about the club or activity • To let you and your child know about other Yellow Door clubs and activities. • To let you know about any fundraising events we may be holding. If you would prefer us not to contact you about other activities and/or fundraising events please let us know.
Submit Form
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