Membership Application Form

Section 1: Your Contact Details

Section 2: About You

What is your ethnic group? (please tick one box)

White
   
Mixed
    
Asian or Asian British
    
Black or Black British
   
Chinese or Other Ethnic Group
  
 
 

FOR THOSE AGED 16 AND UNDER

If you are aged between 11 and 16 please provide the following details from your legal guardian who must be 18 or over.

Section 3: Additional Membership Information

As a member I would like to: *
 
 
 
 
 

Section 4: Declaration

Your details will be on a database so that we can provide you with further information as a Member of the Trust. From time to time your details may be used by a third party for membership maintenance purposes, such as the administration of Governor Elections. The information you provide will remain confidential and will be managed in accordance with the Data Protection Act 1998.