Youthnetsouthampton : Registration

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Southampton Youth MP Election 2009

Wednesday 7th January 2009

Registration

Please supply the following details. Any information you give us will be held by Southampton City Council (SCC) strictly in accordance with the Data Protection Act 1998. SCC's Data Protection Officer is Mark Heath, Solicitor to the Council. Your information will not be shared with any third parties unless we are required to do so by law. If you have any questions releating to the use of your data, please telephone the Information Compliance Officer direct on 023 8083 2676.

Required fields are highlighted.

Tell us about yourself

First Name:

Middle Name(s):

Last Name:

Date of Birth:

Day Month Year

Gender:

Male Female

Address

House Name/Number
Street/Road
Address Line 2
Area/District
Town/City
Postcode

Telephone Number:

Mobile Number:

Email Address:

Ethnicity:

Do you feel you have a disability?

Yes No

Which school or college do you currently go to?

Things you'll need for membership

Choose something you will remember for your username and password.
Also, check if you've got caps lock turned on, to avoid confusion when you try and log in again.
If you register as BANANA, you will not be able to log in as banana.
In a similar manner, passwords are case-sensitive too.

Username:

Password:

Re-enter Password:

Secret Question:

This will be used if you forget your password.

Secret Answer:

A bit more about yourself

How do you get to a Youthnetsouthampton satellite?

Walk	Bike
Bus	Car
Train	Other
Not Applicable

How good do you feel you are with computers?

Poor

Good

Very Good

Have you used any of these programs before:

Windows XP	Internet Explorer
FrontPage	Dreamweaver

Hobbies and Interests:

Hype Magazine

Hype is the Youth Involvement Project's magazine for and by Southampton's youth.
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