ENROLMENT FORMPlease enable JavaScript in your browser to complete this form.Name *FirstLastDate Of Birth *GenderMaleFemaleEmail *Home TelephoneMobile Phone *AddressPostcode *Emergency Contact NameEmergency Contact Phone numberEthnicity Black AfricanBlack and white mixed raceBlack and other mixed raceBlack British Afro-Caribbean/Black AfricaChineseIndianPakistaniBangladeshiAsianAsian and other mixed race White BritishIrish, Gypsy, Romania and Traveller OtherChoose from courses below Gambling-risk associated Alcohol and Drug awarenessOvercoming loneliness awarenessMental Health AwarenessManaging debtsImprove Self - EsteemDeveloping the Leader in YouAll CoursesConsent *By ticking this checkbox, you are giving your consent for BAME HUB-UK NETWORK C.I.C & Funders to keep your data and information but must comply with GDPR Data Protection 2018 legislation and the Freedom of Information ACT 2000 in the way we handle and discloses your information. By ticking the checkbox, you are also giving your consent for BAME HUB-UK NETWORK C.I.C and Funders to use your information in the following ways: broadcast channels such as websites, social media, e-newsletters, printed and electronic materials (flyers, leaflets, brochures, banners etc.) and media releases paid for advertising such as billboards, bus stops, buses, digital marketing, magazines, newspapers, radio, TV, and websites. Terms and Conditions Apply *Once enrolled, you must comply with our terms and conditionsSubmit
