Open Space 22 - Drop in

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Please fill out the registration form below and we will be in touch with further information hubs@theatrclwyd.com. This strand of work is for young people who are not engaging in school or social activities, for young people who are hanging out in the streets and want to try something different with Theatr Clwyd.

Enw Person Ifanc / Name of Young Person? *

Dyddiad Geni / Date of Birth ? *

YYYY

Emergency Contact Name + Number: *

Access needs? Please outline the key information required to support the child, e.g. any behavior, social, emotional difficulties, mental health difficulties, safeguarding risks to themselves and others etc. *

Any dietary requirements? *

Ebost / Email Contact for Parent/Guardian? *

Child Protection Register? *

Looked after Child? *

Number for Lead Professional ? *

Email for Lead Professional ? *

I understand that you will use the information provided above for communication purposes in relation to the SUMMER OF FUN and for support and welfare. I declare that the information I have given on this form is correct and complete. Theatr Clwyd, is a ‘data controller,’ this means we’re responsible for making sure your personal data is secure and used in an appropriate way. We will use the data you provide to ensure we communicate with you any activities/issues relating to our workshops and for welfare purposes. We will not share your data. For more information and to read our privacy policy please visit: www.theatrclwyd.com/en/privacy-policy. Rwyf yn deall y byddwch yn defnyddio’r wybodaeth yr wyf wedi’i rhoi uchod at bwrpas cyfathrebu mewn perthynas ar Brosiect HAF O HWYL ac ar gyfer diogelu a lles. Rwyf yn datgan bod y wybodaeth yr wyf wedi’i rhoi ar y ffurflen hon yn gywir ac yn gyflawn. Theatr Clwyd, yn 'rheolydd data'. Mae hyn yn golygu ein bod yn gyfrifol am wneud yn siŵr bod eich data personol yn ddiogel ac yn cael eu defnyddio mewn ffordd briodol. Byddwn yn defnyddio'r data rydych yn eu darparu i sicrhau bod y gwasanaeth a gynigir yn cael ei ddarparu. Ni fyddwn yn rhannu eich data. Am fwy o wybodaeth ac i ddarllen ein polisi preifatrwydd, ewch i: www.theatrclwyd.com/en/privacy-policy. *

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