Youth service registration – Redbridge eforms

Thank you for your interest in the Redbridge Youth Service. To attend any of our sessions, you need to register by completing this form.

We have a number of teams in the service, please tick the Youth Centre or project you are most interested in joining, so that we know who to send your form to.

We deliver workshops throughout the year offering you the opportunity to enhance your skills and knowledge, helping you prepare for adulthood as well as the chance to make new friends.

Come along and take part in a range of activities, share your thoughts and get your voice heard. Looking forward to hearing from you.

New member

What Youth Centre or project are you interested in?*

Duke of Edinburgh’s Award for 14 to 24 years old
Hainault Youth Centre for 11 to 18 years old
Monday night group for young people with additional needs - 13 to 24 years old
Youth Involvement/Youth Council
Children in care councils
Loxford Youth Centre
National Citizens Service (NCS)

Duke of Edinburgh’s Award for 14 to 24 years olds

Doing your #DofE is a chance to discover new interests, have fun, get fit, gain skills and achieve an Award that will help you stand out in job and uni applications. If you’re in year 9, 10, 11 or 6th Form, you can sign up now.

Hainault Youth Centre for 11 to 18 year olds

We offer a wide range of positive activities for 11 to 18-year olds, based on weekly themes. Activities include basketball, football, badminton, cricket, pool & table tennis, learning to cook, arts & crafts, team games & competitions.

Monday night group (for young people with additional needs) - 13 to 24 year olds

Sessions and activities are designed to meet the needs of young people with additional needs, offering a mix of group activities including cooking, creative arts, sports, discussions and workshops, as well the opportunity to socialise and meet new people.

Youth Involvement/Youth Council

We want to give young people aged 11 to 19 in Redbridge a say on the issues that matter to them and a chance to have their voice heard with decision makers. You can do that by joining Youth Council or as an Ambassador for Child Friendly Redbridge.

Children in care councils

The Children in Care Councils and its various projects are specifically designed to meet the needs of children and young people, over the age of 11, who are looked after by the London Borough Redbridge.

Loxford Youth Centre

We offer a targeted range of activities for 11-18 year olds to help build confidence, motivation, fitness and encourage positive life choices. Activities include homework club, music production, cooking and Boxup.

National Citizens Service (NCS)

A year long project for young people in year 11 & 12 to take part of activities, community action project and life skills.

What activities are you interested in?

Sports
Life skill workshops: Cooking session, Healthy eating, Money management, CV prep
Issue based workshops: Relationships, Sexual health, Drugs & alcohol awareness, Gambling, Internet safety - cyber bullying
Art and media: Animation, Photography, Music, Lyric writing, Crafts, Painting, Drawing
Other activities: Games console, Board games, Socialising, Homework

If you have answered 'sports', please specify*

Football
Badminton
Basketball
Table tennis
Pool table
All sports

Young persons details

If you are under 16 this must be the person who fills out the agreement and consent below.

First name*

Last name*

Date of birth*

Email*

Gender

Female
Male
Prefer not to say

Address of young person*

Address Line 1 Address Line 2 City Postal code Country

Phone number*

Mobile or home landline

School, college or other*

Please indicate if your young person is an independent traveller and has your consent to:

Leave the session at any time*

Yes
No

Travel home on their own*

Yes
No

Name of emergency contact*

This is usually a parent/carer/guardian and must be 18 years old & over.

Emergency contact number*

This is usually a parent/carer/guardian and must be 18 years old & over.

Information to support you to participate safely and enjoy the sessions

Do you have any food allergies or dietary requirements?*

Yes
No

If you have answered 'yes', please specify*

Do you have any medical or disability needs?*

If you have answered 'other', please specify

Please give a brief detail of disability, additional needs or medical conditions.

We may get in touch for more information before your visit.

Do you need any support at school or college?*

Yes
No

If you have answered 'yes', please specify

Would you like to tell us anything else?

Ethnicity

Please tick the appropriate box below. We ask for information on your ethnicity to enable us to develop targeted services in the future and ensure that we are working with young people throughout our local population.

Asian

Indian
Pakistani
Bangladeshi
Any other Asian

Black

Black Caribbean
Black African
Any other Black

Chinese

Chinese

Mixed

Mixed

White

White British
White Non-British

Other

Other Ethnicity
Unclassified

If you have answered 'other' in any of the above sections, please specify

Agreement and consent

Use of your data*

Details provided on this form and your involvement in youth activities will be stored and monitored by the Youth Service. We may share your information with the Council’s internal departments so they can carry out their statutory roles and support our service (eg: social care, housing, Complaints Team, Business Intelligence Team, Corporate Finance Team, Legal Services Department, Information Management Team.)
Details provided on this form will be used for a database mailing list to send me information about Youth Service and LBR activities. I understand that the data will be held in line with data protection legislation.

Please read and click to acknowledge your consent

London Borough of Redbridge (LBR) recognises the need to ensure the welfare and safety of all young and vulnerable people who participate in activities. In accordance with data protection legislation, images, photographs, video or other images will not be published of young or vulnerable people without the consent of the parents/carers and participants over 18. LBR will take all possible steps to ensure these images are used solely for the purposes they are intended.*

I do give consent
I do not give consent

I consent for photographs or videos of this venture, to be used in LBR publicity material including but not limited to the LBR website, Facebook, displays and promotional material. I am aware I can withdraw consent by request.

I understand that once a photograph or film is uploaded to a website or a social network site this may be viewed by any child/young person or adult.

I understand that my membership and attendance may be terminated if I do not behave in a socially acceptable manner.

Membership fees and charges*

I understand that membership fees and charges are used to subsidise the programme on offer for young people. In the event of any surplus, the Service reserves the right to roll over to the next financial year and spend on activities for young people. (Some projects are currently funded & free to attend)

Privacy*

I am aware that the London Borough of Redbridge Privacy Notice can be viewed at the link below.

London Borough of Redbridge Privacy Notice

Person completing the form

Your name*

Date of completion*