Impact Gamers - 2023
Fill in the form to show interest and consent for your child to come to Impact Gamers [Updated 3 Feb 2022]
Sign in to Google to save your progress. Learn more
Email *
This form
This form will register your child for a place at an Impact Gamers club but not guarantee an automatically place. We will contact you back to confirm your place. If over subscribed priority is given to students who we feel would benefit most or help benefit the mix of the group.

Impact Gamers is based at SHINE/St Stephen's Community Hall, Newton St, Bradford BD5 7BH
Contact info@impactgamers.net or Adam on 07952 228797 for more details
Name of Student *
Date of Birth *
MM
/
DD
/
YYYY
Times you could attend *
Required
Specific time you'd prefer *
Payment *
Any disability, special need or learning condition
Parent's/Carer's Name *
Contact Phone number for above (ideally mobile) *
Address
Doctor's details (Name and surgery) *
Medical Conditions (Write N/A for none) *
Other comments ( What input the child could benefit from or other details or questions)
I'm happy for you to contact me about...
Please read this and consent.
Impact Gamers
Impact Gamers is a community interest company, who aim to inspire young people to make positive computer games. We run groups and events to inspire young people to grow in confidence and skills in computer use and programming.  We make games as groups and individuals which are uploaded and shared online for the public to enjoy.  Content made in the group belongs to Impact Gamers and we are able to use it to further our aim.

Travel Arrangements
We expect you to be responsible for your child’s travel arrangements to and from the sessions, unless otherwise agreed.

Maintaining a place at Impact Gamers
Your child can stop attending at any point, but please let us know before you end their place.  If the staff feel another group is more suitable or other issues arise from your child's place in a particular group switch or end placements.  

Confidentiality and Data Protection
We will only use your details to contact you about your child's specific group information, unless you authorise us otherwise.

If young people wish to share information about a difficult part of their life, it will be handled sensitively but not necessarily in confidence. If a young person is, in our opinion, likely to come to some immediate or serious harm, we have a duty of care to disclose relevant details to the proper authorities and members of staff who need to know.
Information is stored on a computer only as long as is necessary.
CCTV is in use in the building, these images are for safety and security
Photos may be taken for publicity,

First Aid
You give consent for any first aid or emergency medical treatment

Parents are welcome to stay during sessions.
I consent. Type your name below as a digital signature *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy