Thames21 Lunch & Learn’s – registration Name* First Last Email* Please select which Lunch & Learns you wish to attend* Monday 27th September: 12:30 – 1pm Monday 25th October: 12:30 – 1pm Friday 26th November: 12:30 – 1pm Date of birth (Please use format dd/mm/yyyy) Have you registered with Thames21 before?*This may have been online or a paper form at a previous Thames21 led event.YesNoUnsureEthnicity: Black / Black British of African Origin Black / Black British of Caribbean Origin Black / Black British of Any Other Origin Asian / Asian British of Indian Origin Asian / Asian British of Pakistan Origin Asian / Asian British of Bangladeshi Origin Asian / Asian British of Any Other Origin Chinese White of British Origin White of Irish Origin White of Any Other Origin Mixed Race of White & Black African Mixed Race of White & Black Caribbean Mixed Race of White & Asian Mixed Race of Any Other Origin Mixed Race of White & Asian Mixed Race of Any Other Origin Any other Origin GenderPlease describe your gender using ‘F’ for female, ‘M’ for male, text if prefer to describe or leave blank for prefer not to say. Address (inc London borough if applicable)City/Town Postcode Phone number How did you find out about Thames21's volunteering events?Word of mouthThrough local group leaderThames21 eventThames21 websiteThames21 e-flierVolunteer bureauxOther websiteThis course takes place online using Zoom. Please confirm all of those that apply: I have access to a computer with internet, video and microphone I am confident with using Zoom I have used Zoom before but I am not confident using it’s functions I have never used Zoom before If you are not familiar to using the video conferencing platform Zoom an information sheet will be emailed in advance.If you have a disability, health issue or learning need that we can make reasonable adjustments for during the course please describe it here:Would you like to receive emails from Thames21? Select to receive the Thames21 e-newsletter Select to receive the Thames21 Training Bulletin Photograph and film consent* I am happy to be photographed and filmed at this event. I do not give my permission to appear in photographs or film clips. Photographs and film clips may be used by Thames21 for publicity and shared with funders and supporters.Protecting your privacy* I have read and accept the privacy policy Your data will be stored in accordance with our privacy policy.CAPTCHAThis is to avoid spam coming to our website.
