Please tell us about yourself

What are your contact details?

Who should we contact in an Emergency?

Please state name, address and contact number of your Doctor

Please provide the details of this referrer / support worker

PHOTOGRAPHY:

I understand that from time to time the Charity may take photographs for publicity purposes and share these on social media and/or within internally published documents.

DATA HELD BY THE GRASSMARKET COMMUNITY PROJECT:

Your personal information will be held and used in accordance with data protection legislation if you confirm your consent to this by ticking the appropriate boxes below.

• I consent to my personal information being used by the Project to facilitate and support my participation in activities and internal administration purposes including monitoring activity attendance.

• I consent to my anonymised data being used to further the Project’s charitable aims including statistics for funding and monitoring purposes.

I consent to being contacted by the Project, to keep in touch and tell me about news and events of interest to the community by: Please indicate below:

DATA HELD BY THE GRASSMARKET COMMUNITY PROJECT:

The Charity will only hold your information while you are actively engaged with the community. You can withdraw your consent to your data being held by calling the Grassmarket Centre on 0131 225 3626 or emailing [email protected]

Your personal information will not be shared with any other company or organisation without your permission, except where required by law. For example, communicating with statutory services such as police or social workers when they request information. We will do this with your full knowledge where possible.

The Charity collects information on criminal convictions on the condition this is required for the legitimate activities of the Charity. The Charity collects information on health on the condition this facilitates the provision of social care.