THERAPYAUDIT® ©2007

surrey

Registration for under 25 years old who live in Surrey

To register online, all you need to do is fill out your details and we will email you information you need to complete your registration. This will allow you to pick up free condoms at any participating outlet across Surrey.

Under 16 year old? You can still register for c-card

Please note if you are under 16, you can register for a c-card by visiting your nearest outlet that provides the registration service. Find outlet near you.

All information is secure and confidential, no details will be passed to your parents / carers, your school, college or Doctors.

about you

Please complete all the required fields below. Any blue fields are optional.

Initial & Surname

Date Of Birth

Gender

Ethnic Background

Sexual Orientation

Postcode

Please enter Postcode and click 'Lookup'. (change)

Why we ask for your postcode? (show)

How did you hear about the Scheme?

Email Address

Confirm Email Address

Condom Demonstration

Please tick to confirm you have watched the Condom Demonstration.

Data Protection

Confidentiality and Data Protection (GDPR Notice)

Your data is being collected in accordance with the Data Protection Act 2018 and GDPR. As such, we have outlined: who is collecting your and processing your data, what is being collected, why it is being collected and the legal basis for such collection and processing.

Who is collecting and processing my data?

You are signing up to participate in a free and confidential condom distribution scheme, which is commissioned by your Local Authority and is provided by a combination of provider(s), depending on where you live.

These providers will include, the lead organisation and any participating outlet(s) where you collect condoms from.

Where schemes are collaborating (e.g. Come Correct) and you are accessing services outside of the Local Authority where you registered (which requires your C-Card), the provider/outlet will be given limited access to your data in order to provide you with the service you are requesting.

The collection of this data is facilitated by THERAPYAUDIT Limited who are a Data Processor on behalf of your Local Authority.

What personal data is being collected?

Your data falls into two categories: personal data and special category data (as below):

Personal Data
- Initial & Surname
- Date of Birth
- Gender
- Location (via postcode)
Special Category Data
- racial or ethnic origin;
- sexual orientation
- health;
- sex life;

The exact data collected about you will be dependent on the services you use within the participating outlets/services.

Why do we need this data?

This data is collected in order to:

allow you access to the c-card scheme and access services in any participating outlet
identify you if you have forgotten your c-card so that you do not need to re-register every time you use the scheme
justify the existence of the scheme and to target resources accordingly (e.g. activity reports)

How long will your data be kept?
Your data will be kept up to 12 months after you are no longer eligible for the scheme you are registering with; this will typically be 12 months after your 25^th birthday, unless otherwise stated.

Some Local Authorities automatically remove your personal data after a period of 12 months of your account being dormant, although the c-card can be re-registered should you decide to start using the scheme again.

The Legal Basis
For the purposes of this online registration portal, the collection of your personal data and special category data is done so under the legal basis of explicit consent, which you may withdraw at any time, by replying to the activation email. Should you withdraw your consent all personal data will be anonymised in accordance with guidance from the Information Commissioner’s Office.

Should you wish to withdraw your consent after you have used your card this can be done by:

Replying to the original activation email
Contacting the lead provider
Visiting an outlet

Safeguarding / Confidentiality
This is a confidential scheme, but there are some cases where, if the provider believes that you, or another young person, are at risk of serious harm they may need to follow safeguarding procedures. This will be discussed with you and they will work with you to protect you in the future.

Your Rights

The right to be informed
The right of access
The right to rectification
The right to erasure
The right to restrict processing
The right to data portability
The right to object
Rights in relation to automated decision making and profiling.

More information can be found at https://ico.org.uk/for-organisations/guide-to-data-protection/guide-to-the-general-data-protection-regulation-gdpr/individual-rights/.

Postal Registration
Local Authorities participating in postal registration may contact you via the email address you provide, in order to offer the option of having a C-Card posted to you.

By replying to the email with your postal address, you accept that the recipient may use this address for the purpose of sending you a CCard and in some cases further information regarding the services offered e.g. (a leaflet).

Once your card has been sent to you, the email containing your postal address will be deleted and no further postal communication will occur.

For data protection questions relating to Postal Registration, please contact the organisation/provider who is offering the service.

Please tick to confirm that you agree to your data being used for the purposes of the Condom Scheme and that you agree to abide by the Terms and Conditions.
Show Statement

Resident of Borough	*
Mobile Number

You have entered a postcode the suggests you live within , however you are currently registering for Surrey. Please confirm below which Borough you would like to register with. You will be shown Outlets from your chosen Borough where you can complete your registration. This choice does not affect your ability to use your card (once registered) in either Borough.