Online registration form for Arts for Life Project
Use this form to register with Arts for Life Project. You will receive an email with your submission details after registration.
Contact details
First name
Please enter your first name.
Last name
Please enter your last name.
Email
Please enter a valid email address.
Mobile
Phone
Additional notes
Show address fields
Address
City
County or region
Postcode
Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French Part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch Part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Children
Child's first name
Child's last name
DOB
Medical notes
Does your child have educational/physical needs? *
Yes
No
If yes, please place details in Medical Notes.
Gender.
Male
Female
Transgender
Intersex
Prefer not to say
Information not provided
Pronouns
He/him
She/her
They/them
He/they
She/they
He/they/she
Ethnicity
African
Any other Asian background
Any other Black / African / Caribbean background
Any other Mixed / Multiple ethnic background
Any other ethnic group
Asian / Asian British
Bangladeshi
Black/African/Caribbean / Black British
Caribbean
Chinese
Indian
Mixed/Multiple ethnic groups
Mixed/Multiple ethnic groups - White and Black African
Mixed/Multiple ethnic groups - White and Asian
Mixed/Multiple ethnic groups - White and Black Carribean
Other ethnic group - Arab
Pakistani
White
White - Any other White background
White - English / Welsh / Scottish / Northern Irish / British
White - Gypsy or Irish Traveller
White - Irish
Likes to be known as
(Alternative name for child).
Current School
Photo Authorisation *
Yes
No
I give permission for photos or other media featuring participant or Child Young Person to be taken & used in promoting the charity within marketing materials.
Social media photo permission *
Yes
No
I consent to any photos or other media being shared on official social media channels.
Privacy Policy *
I understand that the information provided is kept strictly confidential and for the purposes of supporting the participant. AFLP will provide a copy of all data kept on file on request and will only keep this information as long as is necessary for reporting & support needs. The information is kept securely through encrypted online services as laid out in the AFLP Privacy Policy.
I confirm I have read and accept this statement.
Other Communication: *
Arts For Life Project is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you.
If you consent to us contacting you for this purpose, please tick the checkbox above to confirm that you agree to receive other communications from Arts For Life Project.
You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.
By clicking submit below, you consent to allow Arts For Life Project to store and process the personal information submitted above to provide you the content requested.
WhatsApp groups *
Yes
No
I consent to being a part of the Arts For Life Project WhatsApp groups (Please note WhatsApp groups are for parent/carers/over 18 years only).
Emergency Contact - Name *
Emergency Contact - Mobile *
Reason For Registering/Referring? *
Add a child
Child's first name
Child's last name
DOB
Medical notes
Does your child have educational/physical needs? *
Yes
No
If yes, please place details in Medical Notes.
Gender.
Male
Female
Transgender
Intersex
Prefer not to say
Information not provided
Pronouns
He/him
She/her
They/them
He/they
She/they
He/they/she
Ethnicity
African
Any other Asian background
Any other Black / African / Caribbean background
Any other Mixed / Multiple ethnic background
Any other ethnic group
Asian / Asian British
Bangladeshi
Black/African/Caribbean / Black British
Caribbean
Chinese
Indian
Mixed/Multiple ethnic groups
Mixed/Multiple ethnic groups - White and Black African
Mixed/Multiple ethnic groups - White and Asian
Mixed/Multiple ethnic groups - White and Black Carribean
Other ethnic group - Arab
Pakistani
White
White - Any other White background
White - English / Welsh / Scottish / Northern Irish / British
White - Gypsy or Irish Traveller
White - Irish
Likes to be known as
(Alternative name for child).
Current School
Photo Authorisation *
Yes
No
I give permission for photos or other media featuring participant or Child Young Person to be taken & used in promoting the charity within marketing materials.
Social media photo permission *
Yes
No
I consent to any photos or other media being shared on official social media channels.
Privacy Policy *
I understand that the information provided is kept strictly confidential and for the purposes of supporting the participant. AFLP will provide a copy of all data kept on file on request and will only keep this information as long as is necessary for reporting & support needs. The information is kept securely through encrypted online services as laid out in the AFLP Privacy Policy.
I confirm I have read and accept this statement.
Other Communication: *
Arts For Life Project is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you.
If you consent to us contacting you for this purpose, please tick the checkbox above to confirm that you agree to receive other communications from Arts For Life Project.
You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.
By clicking submit below, you consent to allow Arts For Life Project to store and process the personal information submitted above to provide you the content requested.
WhatsApp groups *
Yes
No
I consent to being a part of the Arts For Life Project WhatsApp groups (Please note WhatsApp groups are for parent/carers/over 18 years only).
Emergency Contact - Name *
Emergency Contact - Mobile *
Reason For Registering/Referring? *