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Clubs Quick Enrolment Form
Please fill out this below to register your child onto The Mentoring Lab and enrol on our clubs.
Find out more about are clubs here:
https://thementoringlab.co.uk/afterschoolclubs
** WHAT WE DO WITH YOUR INFORMATION**
We will only use this information to ensure you are safe during your time with us and if you wish, send you information about future activities, mentoring or events.
Your details will remain confidential in accordance with GDPR regulations and our privacy policy that can be found here:
https://thementoringlab.co.uk/privacy-policy
.
FOR MORE INFORMATION
Call: 02071588500 or 07412640174
Email:
info@thementoringlab.co.uk
Web:
www.thementoringlab.co.uk
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* Indicates required question
Name
*
Your answer
Which after school club do you want to do?
*
Online 1:1 Mentoring (10 - 13 year olds)
Online 1:1 Career Mentoring (14 - 25 year olds)
Saturday Mentoring Club @ TML Dalston office (10 - 25 year olds)
Youth Work Experience (14-18 year olds)
Parent Volunteering / School Holiday Game Time support
Youth Leaders Projects (13 - 25 year olds)
Required
Is your child/ren already registered with The Mentoring Lab?
*
Yes
No
Maybe
Child's Full Name
*
Your answer
Child's Age
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Additional Childrens Name and Ages (i.e Shiovan Peters, aged 14 and Tommy Peters, aged 10)
Your answer
Child/ren's Home Address
*
Your answer
Child allergies, dietary requirements or food restrictions?
*
Your answer
Does your child have a learning need or special educational need (SEN)?
*
No
Yes
Not Sure
If yes, what learning or special educational need (SEN) do you have?
Your answer
Can your child go home alone after taking part in a face to face activity
*
Yes
No
Are you happy for your child to be in photographs, videos and audio feedback, to help promote our services online and in print, and share with funders or stakeholders?
*
Yes
No
Prefer audio only
Prefer written feedback only
Does your child agree to follow our Good Behaviour Code of Conduct?
*
Yes
No
Parent's Full Name
*
Your answer
Parent's Emergency Telephone Number
*
Your answer
Parent's Email Address
*
Your answer
Is your child or someone in your household currently experiencing covid symptoms?
*
Yes
No
Maybe
If answered yes or maybe, provide more details here (for example when your child will be ending self isolation?)
Your answer
Would like to receive our new monthly newsletter?
*
Yes
No
Do you prefer to receive text or email updates
*
Text
Email
Phone call
Any
Required
Do you commit to providing your feedback relating to your experience with TML? Your feedback is worth more than gold to us!
*
Yes
No
Signed Parent/Guardian (Entering your name acts as your signature, confirming that the above information is correct).
*
Your answer
Thank you for completing this form
A member of our team will get back to you shortly with more information about the clubs you have selected and or to confirm your place. Please be patient with us as we are a small team.
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