Which school does your child/young person attend or are they home-schooled?
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Participant's Name *
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Participant's date of birth *
MM
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DD
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YYYY
Address *
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Post Code *
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Parent/Guardians Name *
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Parent/Guardians Mobile No:- *
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Parent/Guardians Home Telephone :-
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Parent/Guardians Email:- *
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Does the participant have any health issues, allergies etc which we need to be aware of?
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Does the participant have any disabilities, special educational needs or mental health issues? If so, please let us know what support you think they will need in sessions (eg. quiet time outside of main session when overwhelmed etc)
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Are there any other possible barriers to taking part that you would like to let us know about? e.g. financial issues, transport issues.
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