Redbridge e-forms

Youth Service registration

Privacy policy

Please read the Youth Service privacy notice to know about how we will use your information.

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.

Consent to the use of your data(Required)

Please read the "Use of your data" statement before giving your consent.

I confirm that I have read and understood how my personal data will be used, and I hereby give my consent.

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?(Required)

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

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(Required)

Football

Badminton

Basketball

Table tennis

Pool table

All sports

If you are under 16, a parent or carer should complete the rest of this form and confirm agreement and provide consent at the end.

Young persons details

First name(Required)

Last name(Required)

Date of birth(Required)

Day

Month

Year

Gender

Female

Male

Prefer not to say

School, college or other(Required)

Young persons address details

Address of young person(Required)

Address Line 1 Address Line 2 City Postal code

Young persons contact details

Young person's phone number(Required)

Mobile or home landline - Digits only, no symbols (e.g. 07123456789).

Email(Required)

In this section, you will need to provide details of the emergency contact. This is usually a parent, carer, or guardian who must be aged 18 or over.

Emergency contact details

Parent/Carer email address(Required)

First name of emergency contact(Required)

Last name of emergency contact(Required)

Emergency contact number(Required)

Consent for independent travel

Leave the session at any time(Required)

Yes

Travel home on their own(Required)

Yes

Information for safe and enjoyable sessions

Do you have any food allergies or dietary requirements?(Required)

Yes

If you have answered 'yes', please specify(Required)

Do you have any medical or disability needs?(Required)

Learning support/behaviour

Dyslexia/dyspraxia

Autism

ADD/ADHD

Needs extra support

Mild moderate or severe learning difficulties/disabilities

Speech & language disability

Allergies

Other

None

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.

Information for safe and enjoyable sessions

Do you need any support at school or college?(Required)

Yes

If you have answered 'yes', please specify

Would you like to tell us anything else?

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.

What is your ethnic group?

Asian or Asian British

Black, Black British, Caribbean or African

Mixed or multiple ethnic groups

White

Other ethnic group

Prefer not to say

Please tell us your ethnic group

Select your Asian or Asian British background

Bangladeshi

Chinese

Indian

Pakistani

Any other Asian background

Prefer not to say

What best describes your Asian or Asian British background?

Select your Black, Black British, Caribbean or African background

Black African

Black Caribbean

Any other Black background

Prefer not to say

What best describes your Black, Black British, Caribbean or African background?

Select your Mixed or multiple ethnic groups background

White and Asian

White and Black African

White and Black Caribbean

Any other Mixed background

Prefer not to say

What best describes your Mixed or multiple ethnic groups background?

Select your White background

British

Gypsy/Roma

Irish

Traveller of Irish Heritage

Any other White background

Prefer not to say

What best describes your White background?

Consent to use of photographs(Required)

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 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 do give consent

I do not give consent

Membership fees and charges(Required)

Membership and attendance may be terminated if you do not behave in a socially acceptable manner.
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)

I have read and understand the information regarding membership fees, charges, and membership conditions.

Person completing the form

First name(Required)

Last name(Required)