Parent/Guardian Cover-19 Response Competition
As your child has received a pack from Oasis, we have created an opportunity for parents/guardians to receive a gift from Oasis too. Please complete this form, answering the questions as best you can. Anyone who completes will be entered into a draw for a delivery of groceries. We would also like to offer out support to anyone who may be in need currently. Please feel free to get in touch with an Oasis Staff Member should you require ANY support over these uncertain times. All information will be kept completely confidential.

Packs were funded through Portadown Gets Active Partners: Almac, CiNI, CYPSP, PHA, SHSCT, ABC Council, NIACRO, CIP & Oasis. Funders who also made a contribution are Children in Need, EA-Neighbourhood Renewal and Rank Foundation.

Contact Details for Oasis Staff:

Bethany Ebron (Programme Manager)
Email: bethany.ebron@cipni.com
Mobile: 07516 230 448

Laura Cloughley (Youth Engagement Facilitator)
Email: laura.cloughley@cipni.com
Mobile: 07802 335 728

Website: www.oasisyouth.co.uk
Facebook: www.facebook.com/oasisyouthni
Instagram: @oasisyouthni
Twitter: @OasisYouthNI

Please join our CLOSED Facebook group which you can find here: https://www.facebook.com/groups/575296023069770/

Here we will update with different activities that can be carried out at home as well as signpost any organisations which are offering help at this time.
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Parent/Guardian Name *
Parent/Guardian Contact Number *
What is the best way for us to contact you? *
Email address & Facebook Name *
Families Address inc Postcode *
Number of people in your family (please specify number of children and their ages and number of adults) *
Child/Young Person's Name *
Activities or clubs Child/Young Person attends *
What have you or your child/young person found useful/enjoyed about the pack which your child/young person received? *
Did we miss anything that would be beneficial to be put in the pack or can be sent our in the next weeks/month? *
What has been the impact of Social Isolation for you and your family? How is it affecting routine, family life, education, socially, interaction with friends/family, mental health? *
Have you or your children any fears or concerns about the current situation? *
What could Oasis do practically to support you & family over the next weeks/month? *
What online projects could Oasis deliver that Young people/children would engage in? *
Is your family in need or are you aware of any families who may need additional support that Oasis could provide? *
If yes, please give details of how we can support you/your family or other people you are aware who are in need (with their consent) We can help with a number of things including Food provisions, activities for kids/young people, contacts for support services, essential resources for families, advice through CIP advice staff on jobs etc plus a simple call for those who are lonely.
*Data Protection (GDPR): Do you give permission for Oasis (CIP) to store details on this form for purposes of emergency contact for your child and for sending information about activities connected to the organisation? Please contact us at any time if you wish to be removed from our database, however, during the period your child/children is involved in Oasis provision or support for your family is active, we must keep personal details in case of emergency and to contact parent/guardian. *
Name of person completing this form *
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