Street Participants Registration Form Question Title * 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) OK Question Title * 2. Participant First Name OK Question Title * 3. Participant Surname OK Question Title * 4. Date of Birth Date of Birth Date OK Question Title * 5. Postcode OK Question Title * 6. School OK Question Title * 7. Gender Male Female Prefer not to say OK Question Title * 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) OK Question Title * 9. Are they currently a member of a local cricket club? Yes No OK Question Title * 10. Do they currently attend a lunchtime or after school sport club/team at least once a week (not in a PE lesson) Yes No OK Question Title * 11. Other than in this Street session, do they currently attend a sport club/team outside of school at least once a week? Yes No OK Question Title * 12. Emergency Contact Name OK Question Title * 13. Relationship to Participant OK Question Title * 14. Emergency Phone Number OK Question Title * 15. Emergency Contact Email Address OK Question Title * 16. Medical Conditions / Requirements OK Question Title * 17. Media Consent - to be completed by parent or guardian for children under the age of 18We 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 No OK 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 OK DONE