Young Londoners Fund | Crystal Palace Community Trust

The Young Londoners Fund youth activities are delivered with our partner organisations.

By completing the below registration form you are consenting to your details being passed to one or more of our partners, who will contact you directly about your activity registration.

Here is a list of some of our partners:

You can view our Privacy policy here

Young Londoners Fund registration form

Name of activity

YLF partner

Name (of person accessing services/activities)

Sex

Male

Female

Prefer not to say

Date of birth

Name of parent/carer if person is under 18 years old

Telephone number

Address

Postcode

How would you describe your ethnic status

This information is required by external funders who contribute to the cost of services/activities that we deliver.

Do you/your child have any disabilities/ medical conditions we need to know about?

Yes

If yes please give details and list any medication you regularly take for this condition

Emergency contact 1: name

Emergency contact 2: name

Emergency contact 1: relationship

Emergency contact 2: relationship

Emergency contact 1: telephone

Emergency contact 2: telephone

Disclaimers

I understand that during courses/activities run by the CPCT and Partner organisations, photographs may be taken of me/my child for promotional purposes. I give permission for these photos to be used in social media and hard copy promotional materials.