Loved & Wanted Events at Anerley Town hall | What's on

Back to overview

First name

Last name

Telephone number

Address

Postcode

Sex

Male

Female

Prefer not to say

Date of birth

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.

Disclaimers (tick to indicate yes)

I understand that the CPCT will not share my details with other organisations except funders without my prior approval.

I understand that during courses/activities run by the CPCT or within Anerley Town Hall photographs and videos may be taken of me/my child for promotional purposes. I give permission for these to be used in social media and hard copy promotional materials. (Tick to indicate yes)