Become a Member

Forename (required)

Surname (required)

Date of Birth (required)

Address (required)

Post Code (required)

London borough/ County (required)

Is it ok for ODL to contact your home address? (required)

YesNo

Phone Number (required)

Is it ok for ODL to phone (or text) you? (required)

YesNo

E-Mail Address (required)

Is it ok for ODL to email you? (required)

YesNo

As part of being a member, ODL send out a monthly listings of all groups, events and one-off programmes that we offer with occasional updates about other things of interest. Are you happy for us to contact you? (required)

YesNo

If yes, how would you like to receive these? Please tick your answer’ (If you are able to help us keep our postage costs down by opting to receive our events listings via email we would appreciate it.)

Via E-MailVia Post

Where did you hear about Opening Doors London? (required)

How would you describe your gender? (required)

Is your gender the same as registered at birth? (required)

YesNoPrefer not to say

How do you define your sexual orientation?

Do you have any long-standing physical or mental illness, or disability? By “long-standing” we mean anything that has troubled you over a period of at least 12 months or that is likely to affect you over a period of at least 12 months. (required)

YesNo

If yes, please state the nature of the disability if you are willing to and any access requirements that you have to attend groups and activities:

Who do you live with? (required)

AloneWith spouse, partnerWith familyIn residential accommodation

Is there anyone who is sick, disabled or older whom you look after or give special help to (for example, a sick, disabled or older relative, wife, husband, partner, child or friend)? (required)

YesNoPrefer not to say

What is your ethnicity?

If other, please specify:

What is your religion/belief/faith?

If other, please specify:

I acknowledge that I have read and understood the Opening Doors London’s Privacy Notice. (required)

Yes

Become a Member

In order to ensure that we are reaching as wide a community as possible, please complete the section below. Thank you.