New Membership & Attendee Sign up Form ( Oct 2019)

Beith Community Development Trust

Geilsland House, Geilsland Rd, Beith Ayrshire, KA15 1HD Tel: 01505 800758 Email: Hello@beithtrust.org
Beith Trust Forms - Terms and Conditions and Privacy Policy

These forms give us all the information we need to keep you safe and informed. The information you provide will be recorded for the purposes of registering you as a member of Beith Trust and keeping you up informed about the organisation and its work. Wherever we have told you we rely on your consent you are entitled to withdraw this at any time. Information about how we process your data and your data protection rights is available by clicking the link below. The data will be accessed by our Admin & Comms Team.
Do you want to apply to become a member of Beith Trust *

Yes ( fill out Part 1 & 2 ) I would like more information ( we will contact you for a chat) No ( go to part 2)
Part 1 - Apply for Membership

If you like what we do and want to apply to become a member your application will be considered by the Board of Directors for approval. You will then ( if you are a full member) be able to vote at general meeting and are eligible to be elected to the Board of Directors. Please copy the form as many times as you need for anyone who is interested in supporting our work through membership. If you do not want to become a member just skip to Part 2.
Beith Community Development Trust is made up of people who think of being heathy in mind, body and spirt is important for communites. People need good physical and mental health to reach their full potential in life. Beith Trust uses the power of relationships and activity to inspire, motivate and nuture the potential in beith.

We genuinely welcome any and all input, especially if you have thoughts and ideas for projects or want to volunteer. Please show support and become a member.
Email
example@example.com
Your Name

First Name Last Name
Your Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Landline

Area Code Phone Number
Membership Catagories

Full - I agree with the aims of the Trust and understand that should the company fail with insufficient funds to cover its liabilities, I may be liable for a payment of a maximum of £1, I am 18 years old and live in the area covered by the KA15 /KA14 postcode. Associate Membership - I agree with the aims and objects of Beith Trust Junior - 12 - 18 years old, lasts 6 years or until you are 18
Mobile

Area Code Phone Number
Your signature

Clear
Date
Part 2 - Attendee Sign Up

We want you to be healthy and safe when you take part in any of our activities - so we need some basic information from you. We also want to make sure you are informed with the information you want and that you are happy with us contacting you from time to time and taking your picture which might be used to promote what we do - All attendees must complete this form, parents or carers must complete and give consent in the section below
Name

First Name Last Name
Date of Birth

Month Day Year
Gender *
Date of Birth *
Address *

Street 1

Street 2

Town County

Postal / Zip Code
Contact details

If the attendee is under 16, we need contact details to be from a parent or carer
Contact Relationship *

I am the attendee I am the parent or guardian of the attendee who is under 16 - [please complete the section below) I am a child minder responsible for the child ( please complete the section below)
Contact Name ( if different from attendee)

First Name Last Name
Email
example@example.com
Mobile

Area Code Phone Number
Phone

Area Code Phone Number
Emergency Contact details ( name & number)
Who should we contact if we cant get you
Attendee Medical & Permissions

We need this informaton the attendee, safe, healthy and informed.
Which medical centre is the attendee registered with? *
Medical Conditions.
Dietary requirements
Attendee conditions, allergies or dietary requirements that we should be aware of
List any conditions, allergies and dietry requirements or medication here
Equalities Details *
Ethnicity Details *
Permissions

We need this information to make sure that we keep information and images of the attendee in the way that you want
Are you happy for images of the attendee to be used within Beith Trust social media and promotional materials *

YES NO
Are you happy for us to contact you via phone, email or via digital media *

YES NO
Are you happy to receive surveys and / feedback forms *

YES NO
Signature
Date
Should be Empty:

Beith Community Development Trust

Beith Trust Forms - Terms and Conditions and Privacy Policy

Part 1 - Apply for Membership

Part 2 - Attendee Sign Up

Contact details

Attendee Medical & Permissions

Permissions