21UP Movement is a youth intervention program and youth empowerment organisation to help young people. We value your privacy.

Consent Form

Do you give consent for the use of of photography, audio or video? If yes, you may proceed in filling out the rest

of the form. If not, you may discontinue filling out this form.

Do you permit The 21UP Movement to capture and use photographs, audio and video recordings taken of yourself

or a child (under 18 years old) you are the parent or carer of, for the following use/s?

• The internet including social media
• Publications and promotional materials including reports, flyers and posters
• Other channels used to promote the work of The 21UP Movement, website, YouTube

Do you acknowledge that you may withdraw your consent at any time by contacting The 21UP Movement at info@21upmovement.com to let them know not to use the photos or recordings anymore?

NOTE: Please do not proceed in filling out this form if you don't accept our GDPR Policy.

Volunteer Application Form

Do you give consent to all of the above? If yes, you may proceed in filling out the rest of the form. If not, you may discontinue filling out this form.

Yes, I do

No, sorry I don't

Date Today

First Name

Last Name

Confirm Email Address

Cellphone number

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Please complete the next 3 questions below if you are giving consent on behalf someone who is under 18 years old. Otherwise, proceed to accept the GDPR Privacy Policy and Signature sections below.

Child's name (put N/A if not applicable)

Child's date of birth (mm/dd/yyyy)

Please state your relationship to the child

GDPR Privacy Policy

Under the 1998 Data Protection Act, your rights include:

Your consent (to the publication of you or your child's images/videos/audios) can be withdrawn at any time.
Your images/videos/audios will not be used for any other purpose without your further consent.
The contact information you have provided will only be used to contact you about these images/videos/audios.

Conditions of use

We will not include personal email, postal addresses or telephone numbers on video, our website or in printed publications and advertising.
We may use group or individual images.
We may use the image/recordings in literature unrelated to when the photograph/recordings was actually taken.
We may include your full name with the image.
We will retain your consent form for five years, however we reserve the right to store and retain the images/recordings in our archive indefinitely.
These images and recordings may also be used across the 21UP Movement group.

To know more on how we ensure your child's protection, you may read full texts of our Youth Member's Privacy Policy.

GDPR: By clicking below (or on the behalf of a minor) you agree for The 21UP Movement to store your data for club purposes only. This will include emailing and texting relevant club information during your membership. No information will be shared with third parties and all information will be store accordance with GDPR guidelines.

Yes

Please affix your signature inside the gray box below. You can click the ' Redo Signature ' on the bottom right of the box - if you would like to redo your signature.

NOTE: Please do not proceed in submitting this form if you don't accept our GDPR Privacy Policy and is not happy to complete a mandatory online safeguarding level 1 course.

Consent Form

Volunteer Application Form

MEMBER'S PRIVACY POLICY

21UP MOVEMENT PRIVACY NOTICE

TERMS & CONDITIONS