Jam Around the Table: Tell us about you

Full name: (required)

Phone number: (required)

Postcode: (required)

Please detail any dietary requirements or allergies: (required)

What school or college do you attend? (if applicable)

Relationship to you: (required)

Phone number: (required)

White

English / Welsh / Scottish / Northern Irish / BritishIrishGypsy or Irish Traveller

Any other white background (please specify)

Mixed / Multiple ethnic groups

White and Black CaribbeanWhite and Black AfricanWhite and Asian

Any other Mixed / Multiple ethic background

Asian / Asian British

BangladeshiChineseIndianPakistani

Any other Asian background (please specify)

Black / African / Caribbean background

AfricanCaribbean

Any other Black / African/ Caribbean background (please specify)

Other ethnic groups

Arab

Any other ethic group (please specify)

Image and release declaration: While participating in Geraldine Connor Foundation activities photographs and/or video of yourself may be taken. These will be used for documentation purposes. (required)

I do give permission for GCF to use the young person’s image and quotes in any media relating to the Foundation.I do NOT give permission for GCF to use the young person’s image and quotes in any media relating to the Foundation.

How did you hear about Jam Around the Table? (required)

GCF WebsiteSocial mediaFriends, family or teacherGCF Insider (our newsletter)Other

Would you like to sign up for our newsletter, the GCF Insider? (required)

Yes please, sign me up! No thank you, I’m not interested