Youth groups expression of interest form

"*" indicates required fields

Name*

Email*

Phone number

Child's name*

Child's date of birth*

Postcode*

This information is helpful for our monitoring purposes.

Which groups are you interested in?

Friday club (18 to 25 year olds)

The siblings group (8 to 16 year olds)

Select all that apply

Message*

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Data Protection (GDPR) Leeds Mencap collects and processes personal information on this form to manage enquiries, waiting lists, group places, and communication with parents/carers. Data is stored securely in accordance with the UK GDPR and the Data Protection Act 2018 and shared only were lawful and necessary. Information is retained only as long as required, and you may request access, correction, or deletion at any time.

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I confirm that I have read and understood the Data Protection statement above