Enquiry Form

Your Details (the person enquiring on behalf of the participant)

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Before you continue!

You must get the participant's consent to fill out this form on their behalf.

About the participant

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Day
Month
Year

Contacting the participant

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e.g. an interpreter for foreign language or for BSL/Deaf interpreting

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Informed Consent

Before completing this section

You must have gained permission from the Partipant to grant their Informed Consent as outlined in the information below.

The information you provide on this enquiry form will only be used to administer your interest in joining Move Together. The District Council and Active Oxfordshire are the joint data controllers of the information you provide, and are processing this data, contractually, in order to provide this service to you. Move Together will use your information in accordance with UK GDPR and UK DPA 2018.

We will share your information with the District Council who is responsible for providing support and signposting to meet your physical activity needs as part of Move Together. Information that you enter on this form will be sent directly to the Move Together team to contact you and get started. Your data will be collected electronically or on paper and stored safely in a secure database.

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The Move Together team would like to contact you to provide advice and guidance to take part in physical activity, including regular follow ups to offer ongoing support.

Please be aware that you have the right at any time to withdraw this consent and to stop us from contacting you. If you would like to do so, please contact your Move Together district coordinator.

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We would like to share your anonymised* data with our evaluators, Shepherd & Moyes, for long-term monitoring and evaluation purposes. This information may be used to demonstrate the impact of Move Together and inform future improvements.

The personal information you provide will be held for a period of 12 months following your last known contact with Move Together, after which it will be securely destroyed. You have the right to the access and removal of personal data concerning you.

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* anonymised: where any information that could lead to an individual being identified has been removed

Optional Questions

This section of the form is completely optional. Filling it out will help us monitor and improve Move Together.

Please contact support@oxfordcodelab.com if you experience any problems with this form.
All data will be processed in accordance with our privacy policy.