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Member Registration

 

To create an account please enter a username, email and password below...

Username:
Email:
Password:

Parents/Carers/Young Adults (over 18s)


Parent 1 Full Name:
Parent 2 Full Name:
OR Young Adult (Over 18s) Full Name:
Address:
Postcode:
Mobile/SMS:
Do you have a hearing loss?
First Language:
Do you consider yourself to have a disability?

Are there any adaptions that we can make to ensure that Phoenix is accessible to you?:

Children


How many children:

Photo Consent


We require parental consent before we use photos that others will view. For example, our annual yearbook, on our website and social media and funders may also like to see them for evidence.

I DO GIVE permission for my child/ren to be photographed and images used for publicity purposes by The Phoenix Group or by our funders. Photos that contain images of your child may also be displayed on our Facebook page.

I DO NOT GIVE give permission for my child/ren to be photographed for publicity or any other purposes by The Phoenix Group for Deaf Children

Transport Consent


Transport consent (this applies to children over 8 years but if you have children under 8 years, please consider ticking the box below now to save us needing to ask you in the future)

Occasionally we may run activities that involved the transporting of children and young people. Staff have appropriate policies in place as well as insurance to do so and also have undertaken minibus training. You will always be informed if we need to do this prior to participating in an activity. However in an emergency situation, a child may require urgent transportation by staff and we may not be able to contact you at that time. In this situation we require permission in advance to avoid delay.

I DO GIVE permission for my child to be transported to or from activities and will be notified in advanced or in an emergency situation.

I DO NOT GIVE permission for my child to be transported to or from activities, unless in an emergency situation.

Emergency Contact Details


Name of Person 1:
Relationship to child:
Mobile Number:
Method of Contact:
Name of Person 2:
Relationship to child:
Mobile Number: Method of Contact:
Essential Medical Information: (e.g. diagnosis, allergies, seizures, asthma)
Doctors Name:
Doctors Address:
Doctors Tel Number:
Other information that would be helpful for us to know about your child:

Funders Information



Below is information that we need to collect as required by our funders. Please use one tick for each member of your family. Please complete all sections.

Ethnic background of parents/carer and children (each tick = a family member)

White
English/Scottish/Welsh/Irish/Northern Irish
Gypsy or Irish Traveller
Any other white background

Asian
Mixed ethnic background
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background

Black/African/Caribbean/Black UK
English/Scottish/Welsh/Irish/Northern Irish
African
Caribbean
Any other Black/African/Caribbean background

Other ethnic Group
Arab
Any other
Parents or Carers age group (each tick = a family member)

0 - 24 years
25 - 64 years
65+ years

Religion or belief (each tick = a family member)

No religion
Christian
Buddhist
Hindu
Jewish
Muslim
Sikh
Other religion
Prefer not to say

Disability (each tick = a family member)

Disabled
Not disabled

Sexual orientation (each tick = over 16s only)

Heterosexual
Lesbians, gay men or bisexual people
Other
Prefer not to say

I agree to the terms & conditions