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Registration
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ABOUT YOU
Information about you
Home Postcode:
Date of Birth:
Gender:	Male Female Transgendered Prefer not to say
Ethnicity:	--------------------White or White British-------------------- White Any other White background --------------------Black or Black British-------------------- Caribbean African Any other Black background --------------------Asian or Asian British-------------------- Bangladeshi Indian Pakistani Chinese Any other Asian background --------------------Other-------------------- Mixed Any other ethnic background Prefer not to say
Sexuality:	Straight Bisexual Gay Lesbian Transgendered Prefer not to say
Do you have free school meals?:	Yes No
Do you have a Statement of Special Needs?:	Yes No
Are you a young carer?:	Yes No
Are you looked after by the local authority?:	Yes No
CONFIDENTIALITY STATEMENT
Private conversations with CyberMentors are strictly confidential, which means they will not discuss what you tell them with anybody else. However, if you or someone else is at risk, they may need to tell a trusted adult about it. If they need to do that, they will always try and let you know beforehand.
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YOUR CONSENT
We collect the personal information above when you register on the website. We also collect information via feedback forms, like when you have had a mentoring session or enter a competition. Please make sure you have read and understood the sections on "Your Privacy" and "Using This Website".
	I have read and understood the sections "Your Privacy"         and Using This Website