YEP Registration Form

Youth Engagement and Participation Registration Form

Thank you for your interest in registering for one of our programmes. We gather information about you to be able to:

Contact you in relation to your programme (including short notice changes to the programme)
Monitor the programme's value and effectiveness
Recommend other Glasgow Life programmes that would be able to support your personal and social development

You will be able to read about and consent to how we process and store your information within the registration form. We may contact you about the programme and in cases of emergency or where we cannot contact you we may get in touch with your emergency contact via text, telephone call or e-mail as appropriate.

What are your personal details? *

First Name	*
Surname	*
Flat Number
Street Address	*
Area	*
Postcode	*

What is your date of birth? *

	DD/MM/YYYY

What is your e-mail address? *

What is your mobile contact number? *

Who is your emergency contact? *

Name	*
Relationship to you	*
Telephone number	*
Email address	*