Step One: Tell Us About You

By signing up as a member you (and your parent/guardian for under 16s) agree that you may participate in activities on or off site and will follow the Youth Zone code of conduct.

About You

Member First Name* Member Last Name* Preferred Name Gender* Date of Birth* (DD-MM-YYYY) First Line of Address* Postcode* Member contact number Email Address School / College Ethnicity* Registered for Free School Meals* Food Allergies Young Carer
A young carer helps to look after a relative with a disability, illness, mental health condition, or drug or alcohol problem. Disability* Additional Needs*

More information
Brief details of disability, additional needs or medical conditions. We may get in touch for more information before your visit to make sure everyone has the best Youth Zone experience. If you have a safeguarding concern, please share this here, not below.

Your Membership Photo

Please provide a clear headshot that does not include any other people. This photo is only used to identify you at the Youth Zone and will not be used for marketing or publicity purposes.

Sample Image

Parent/Guardian

If you are under 16 this must be the person who fills out the Parent/Guardian Agreement below.

Name* Relationship* Address (if different from above) Phone* Email*

Additional Emergency Contact

Name Relationship Address (if different from above) Phone Email

Further Information

Mode of Transport Reason for Joining If your child is a Junior, are they allowed to leave the Youth Zone unattended? How did you hear about us

Member Agreement

Your Personal Data

By signing up as a member you agree to provide the Youth Zone with certain personal information, which we will process in accordance with all applicable data protection laws to:

provide you with services and carry out administration in relation to your membership;
communicate with you (and your parent / guardian) about services and your membership. You can opt out at any time by contacting us; and
provide information about your membership to OnSide Youth Zones registered charity number 1125893), suppliers, funders and/or sponsors as required for the purposes of the development, coordination and support of the OnSide Youth Zone network. Contact us for a list.

Your Sensitive Personal Data

We may collect sensitive personal information for example, information relating to your health, disability and/or ethnic background.

I agree that my sensitive personal information can be processed to provide me with services and carry out administration in relation to my membership.

I agree that my sensitive personal information may be shared with OnSide Youth Zones, suppliers, funders and/or sponsors (as required for the purposes of the development, coordination and support of the Youth Zone network. Contact us for a list. The Youth Zone will ensure that third parties agree to keep this information confidential.

Your Image

I agree that my image (in photos or videos) may be used for marketing and publicity purposes in printed publications, on social media, on the Youth Zone website or elsewhere.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy.

Your Payment Confirmation

Tell us who will make the payment so we can process it and send a confirmation email. Payee First Name* Payee Last Name* Payee Email Address*

* Mandatory Fields

Become a Member