Ascension Programme Enrolment

Full name *

Town / City *

Contact Number *

Email address *

Ethnicity * IndianPakistaniBangladeshiChineseAny Other Asian BackgroundCaribbeanAfricanAny Other Black,Black British,Caribbean or African BackgroundWhite and Black CaribbeanWhite and Black AfricanAny Other Mixed or Multiple Ethnic Group BackgroundEnglish,Weish,Scottish,Northern Irish or BritishIrishGypsy and Irish TravellerRomaAny Other White BackgroundOther Ethnic Group

Occupation (optional)

First Name *

Surname *

Email *

The participant's email address will be used to enable them to download the Genesis Sun mobile app. Do you consent for Genesis Sun to email a link to the mobile app to your child so they can collect points on the Ascension programme? *yes

Place of Education *

Year in Education (if applicable) *

Participants date of birth (dd-mm-yyyy) *

Gender *MaleFemalePrefer not to say

Ethnicity  * Select OneIndianPakistaniBangladeshiAny Other Asian BackgroundCaribbeanAfricanAny Other Black, Black British, Caribbean or African BackgroundWhite and Black CaribbeanWhite and Black AfricanAny Other Mixed or Multiple Ethnic Group BackgroundEnglish, Welsh, Scottish, Northern Irish or BritishIrishGypsy and Irish TravellerRomaAny Other White BackgroundOther Ethnic Group

Aspiration *

Talent *

Favourite music genre *AfrobeatsAmapianoDancehall/BashmentDrillFunky HouseGarageGrimeHip Hop/RapReggaeR&BSoca/Calypso

Please tell about any allergies we should know about *YesNo

Are there any special needs we need to be aware of and cater for? *YesNo

Doctor (optional) (optional)

Address of Doctor's Surgery (optional) (optional)

Do you consent to emergency medical treatment being provided if necessary? *YesNo

Do you agree to your image being taken? *YesNo

Do you agree to your image being uploaded to social media? *YesNo

I give permission for my image to appear in the media e.g. newspaper/tv *YesNo

Genesis Sun is a not-for-profit organisation and therefore we rely on membership fees, plus donations, to continue to serve our community. Together these allow us to continue to deliver life changing programme events, and support participants with their future aspirations.

I have read the terms and conditions on the Genesis Sun website. By submitting this form you have agreed to our terms and conditions.*

Please note, donations enable us to continue to deliver life changing programme events and support our members with their future aspirations. If you would like to make a donation, please click here and return to this page to continue enrolment. *

I agree to appear in the media *