Developing Emotional Resilience in Children
Thank you for taking the time to complete this form. Once this form is completed and submitted we will make contact to discuss your course place, any requirements and provide full details on the course. The information you submit is held securely in accordance with GDPR requirements. The course is funded by City of York Council. If you have any questions or issues completing this form please contact enquiries@brightsparkscic.org.uk or call 01904 500301
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Parent/Carer name: *
Parent/Carer address and postcode: *
Telephone number: *
Email: *
Parent/Carer Gender: *
Parent/Carer Ethnicity *
Family's first language *
Family details - please list the names of your children, their dates of birth, gender and current school (to be eligible to attend you must have a child between the ages of 6-11):   *
Why do you want to attend this emotional resilience programme?
What do you hope to achieve from this programme? *
Other needs and/or requirements - is there anything else happening in your family that you think would be helpful for us to know about? Are you getting any support from other services?
How did you hear about the Emotional Resilience course? *
Which location would you ideally like to attend? *
Please note we will be running 6 courses between July and November 2019 but only those where spaces are still available are listed.  You must attend both sessions to complete the course  (2x 2 hours over 2 weeks)
Do you have children who are eligible for two year old funding? (childcare funding)
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Are your children eligible for free school meals?
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Are you on a Child Protection Plan?
Are you responsible for Looked After Children?
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Do you have a Family Early Help Assessment or have one under development?
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I confirm that the information contained in this form is accurate and wish to secure a place on this course. *
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