Membership

To take part in activities with Spotlight you’ll need to become a member by filling in the membership and consent form. If you are under 18 your parent or guardian will need to fill in the consent form. It is free to become a member of Spotlight and gives you access to all the free activities and opportunities on offer.

You can also download a PDF of the membership form HERE.

Form *

Young Person's Membership Form

To be filled in by young person.

Please tell us a bit about you.

Gender *

Parent/guardian details

Are you in education or training? *
Do you consider yourself to have a disability? *
What kind of disability? *
What is your ethnic group? *

Consent

I give permission for Spotlight to collect and securely store and use information, photos and film footage of me and use it to promote Spotlight and its partners work *
I understand that information may be shared with partner organisations to support me and the services I access *
I agree to Spotlight communicating with me by email, phone, text and post
I confirm that all the information provided in my membership form is true and correct *

Consent - Parent/Guardian/18 Plus

To be filled in by young person’s parent, or if you are 18 or over you can fill in your own consent.

Your son or daughter/you have indicated that they/you want to become a Spotlight member. To do this you will need to give your consent, so that we can be sure you’re happy for them/you to take part in all the FREE opportunities Spotlight has to offer.

This section should be completed by a parent or guardian if the young person is aged under 18, or by the young person if aged 18 or over.

Medical information

Does your son or daughter/you have any conditions requiring support or medical treatment, including medication? *

Spotlight takes great steps to ensure the safety of all young people taking part in our services.
Letting us know about any medical conditions will help us take appropriate action in the event of an emergency, and where appropriate we will share this information with medical professionals. In the event of an emergency we will try to contact you as soon as possible.

Using images and information

Spotlight will gather and store information about your son or daughter and you as part of its work.
We will keep this safe and secure, and will only share limited information with other people, such as with organisations who deliver services with Spotlight, or with medical professionals in the event of an emergency. We will often take photos of and film young people taking part in Spotlight activities and may use these to promote Spotlight and our partners work, for example on social media, our website, in newsletters or reports, or in the media. This helps us showcase young people’s talents, raise funds and illustrate the work we do.

Your contact details

Parent/guardian

Young person

Consent

I agree to Spotlight communicating with me and my son/daughter/me about Spotlight by email, text, phone and post *
I agree to my son/daughter/me taking part in activities at Spotlight *
I agree to my son/daughter/me receiving first aid as required by trained staff. If further treatment is needed I agree to any emergency medical treatment as considered necessary by the medical authorities *
I agree that Spotlight can store and use information, photos, film footage of or about my son/daughter/me and use it to inform and promote Spotlight and its partners work *

Spotlight and Poplar HARCA is committed to protecting your personal information. The information collected above will be used to provide services to you. We will never pass your sensitive personal data onto a third party, unless we have obtained your consent or when legally required to do so. All information collected will be stored on our internal database for monitoring and service provision purposes. By submitting this form, you are agreeing to Poplar HARCA using your information as outlined here.

View our privacy notice HERE.

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