Well-Being Programme: Expression of Interest 
If you are interested in signing up for this programme or if you have additional questions,  please complete the questions below and submit by November 11th. Thank you! 

If you are a parent we recommend you have a conversation with your child about the programme before submitting to this form. If you are a student, you will need your parent's consent to sign up for this programme.

By completing this form you are only expressing an interest. We will contact you for a further conversation to provide more information and to answer any questions to see if this is right for you. 

If you are struggling and would like a confidential conversation please do reach out to one of our counsellors or your HoY/H. Please see our well-being toolkit on the VLE for contact details of our counsellors. 

Many thanks!

Lucie Purves. Vice Principal
Joe Clark. School Counsellor.
Jonie Chiu. Youth Well-Being Practitioner. 


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Student Name *
Student Tutor Group *
Are you a student or a parent? *
If you are a parent, what is your email address where we can contact you?
Do you have any questions about the programme?
Reasons why you/your child would benefit from this programme? *
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