Personal DetailsName(Required) First Last DOB(Required) DD slash MM slash YYYY Gender(Required)MaleFemaleNon-binaryAgenderMy gender is not listedPrefer not to answerHeight(Required)Feet, InchesStarting Weight(Required)Stone, PoundsPlease list any Medical Conditions / Taking Medication: Add RemoveHow can BEEWEIGHED keep in touch?Email(Required) Enter Email Confirm Email Address(Required) Street Address City/ Town Post Code Mobile(Required)LandlineCan BEEWEIGHED contact you by Phone Email Post Social media Please tickHow did you hear about BEEWEIGHED?Please tell me a bit more about yourselfWhat is it that made you join BEEWEIGHED? Is it a wedding, special occasion, holiday, health or any other reason?(Required)If you are not wanting to follow our diet plan, which are you going to follow? No rules at our groups you follow what is best for you and we can still support you.(Required)Losing weight is a journey and small goals will help get you to your final target. Please tell me your first goal you would like to concentrate on:(Required)Is there anything else you would like to share with me?(Required)What would be your preferred Zoom time(Required) Tuesday 7:30 pm Wednesday 8pm Thursday 9:30am Thursday 7:30pm Saturday 10am Sunday 10am Wednesday tbc (Bariatric Surgery Members) Please tick all that applyPurchase MembershipClick the button below to pay for your membership before finishing this form. Alternatively click here to payPay Here Confirm Membership Payment(Required) I confirm that I have joined as a member using the link provided. StatementI confirm that the information given above is correct and the Leader shall not be liable to the slimmer in respect of any damage, injury to health or otherwise arising out of any diet, physical exercise or other activity or advice recommended, given or provided. It should be understood by the slimmer that he/she should consult their doctor before undertaking any diet that is recommended.Signature(Required)Today DD slash MM slash YYYY PRIVACY POLICY: With this Privacy Policy we inform you which personal data we collect and for which purposes the personal data are processed when you register for BEEWEIGHED. CONTROLLER – within the meaning of General Data Protection Regulation (GDPR) is: BEEWEIGHED Weight Loss Support Group, 33 Sykes Meadow, Stockport SK3 9RJ. If you have any questions regarding data protection contact the Data Protection Officer Lynda Leadbetter on 07799892782. SUBJECT MATTER OF DATA PROTECTION: The subject matter of data protection is personal data. Pursuant to Art. 4(1) GDPR, this includes all information relating to an identified or identifiable natural person, i.e. name or email address. PROCESSING PERSONAL DATA: 3.1 Provision of Services: BEEWEIGHED processes your personal data i.e. name, address etc), including all information set out in the attached joining form in order to provide weight loss support. 3.2 Marketing Messages: BEEWEIGHED processes your email address and mobile number in order to provide you with promotional messages about offers and events via email, SMS and social media platforms. You can unsubscribe from the marketing messages at any time, each message will detail how you can unsubscribe. The legal basis for such processing is Art. 6(1)(a) GDPR. DELETION OF PERSONAL DATA: BEEWEIGHED will delete or anonymize your personal data as soon as it is no longer required for the purposes for which it has been collected or used in accordance with the above paragraphs. For more information please contact the Data Protection Officer using the contact details above. RIGHTS OF THE DATA SUBJECTS: With regard to the processing of your personal data you have a right of access to your personal data being subject to the processing, a right to rectification of your personal data, a right to ensure your personal data, a right to restriction of processing your personal data, and a right of data portability with regard to your personal data. Furthermore, you have a right to lodge a complaint with a supervisory authority. Where processing of your personal data is based on Art. 6(1)(f) you have a right to object to the processing of your personal data.EmailThis field is for validation purposes and should be left unchanged.
