Please complete this form to register with CACT. If you are under 16 (or up to 25 with special educational needs & disabilities), this must be completed by a parent or guardian.
Date of birth
Contact telephone number
What is your/your child's status?
How did you find out about Young Greenwich?
CACT requires the following information to ensure the health and safety of a child or young adult who is participating in an activity and for CACT's Monitoring & Evaluation purposes
If yes, please state
If yes, please state
Gypsy or Irish Traveller
Any other white background
White and Black Caribbean
White and Black African
White and Asian
Any other mixed / multiple ethnic background
Any other Asian background
Any other black background
Any other background
Please enter emergency contact details (including name, relationship, phone number & address)
CACT activities may be recorded through photographs and video both for the participant to celebrate their experiences. CACT will only ever use your image where you have given us consent to do so. If you change your mind and wish to withdraw consent for use of your image at any time, please contact firstname.lastname@example.org. If you would like to support CACT by providing consent for us to use your image, please complete this form.
I provide consent for
My images to be used by Charlton Athletic Football Club
My images to be used by other CACT partners (e.g. the Royal Borough of Greenwich)
My images to be used by patrons & sponsors
Use of your image for promotional purposes may include their use in the following: Website, Social Media, Printed Material (eg. Leaflets), Press Releases, Video, Evaluation Reports, Funding Bids, Case studies
Please contact me via
I would like to receive marketing material from Charlton Athletic via
As a supporter of CACT, I would like to receive information on the following
By selecting this check box, you are consenting to us using your/your child's personal information for the purposes of this service only; this includes collecting and storing data for monitoring and evaluation purposes and to safeguard participants. All personal data, including sensitive data, will be processed fairly and lawfully. All data will be processed securely with appropriate controls in place. Data shared with 3rd parties to fulfil contractual obligations will be processed via secure email. You can find CACT’s full Privacy Notice at cact.org.uk/policies.
Relationship to participant
Parent/guardian (if under 16 or up to 25 with special educational needs & disabilities)
Terms and conditions: CACT will keep your information on file along with any photo/video footage. In the event that you withdraw your consent for any reason, this information will be removed from our files and destroyed. Images that have already been published cannot be withdrawn. We generally do not use images older than five years. In the event that CACT’s consent policy changes, you will be notified of such changes, and will have the option to revise your preferences with regard to our use of your personal data. Charlton Athletic Community Trust is the trading name of the South of England Foundation, registered charity number 1096222.
Young Greenwich is the youth service delivered by Charlton Athletic Community Trust (CACT) on behalf of the Royal Borough of Greenwich. You can find CACT’s full Privacy Notice at
© Charlton Athletic Community Trust
Registered charity number 1096222
Charlton Athletic Training Ground Sparrows Lane, New Eltham London SE9 2JR
Tel: 0208 8502866
Charlton Athletic Football Club
Royal Borough of Greenwich
Charlton Athletic Community Trust