Parent’s/Guardian’s Full Name *

Town/City*

Mobile Number*

Parent’s/Guardian’s Ethnicity* Select One Indian Pakistani Bangladeshi Chinese Any Other Asian Background Caribbean African Any Other Black, Black British, Caribbean or African Background White and Black Caribbean White and Black African Any Other Mixed or Multiple Ethnic Group Background English, Weish, Scottish, Northern Irish or British White and Black African Irish Gypsy and Irish Traveller Roma Any Other White Background Other Ethnic Group

You consent to your personal information, including ethnicity information if provided to be used to inform the Genesis Sun selection process.*
Yes No

You consent to Genesis Sun contacting you to discuss our programmes events and the benefits we can deliver for your child.*
Yes No

I confirm that I agree to Genesis Sun's Privacy Policy*

Username *

Email address *

Password *

Register