Blend Youth Cafe

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Blend Youth Cafe

To fill in if you would like your child to attend Blend Youth Cafe

Email *

Please Note: We are approaching full capacity - please ensure that you have emailed and we have responded to that email confirming a place PRIOR to allowing your child to come to Blend *

I understand

Name of Child *

How will your child leave at the end of a Blend session? *

Accompanied by an adult

Unaccompanied

Parent or Guardian Name *

Parent Or guardian phone number (must be a mobile number as texts are sent to communicate to parents when your child leaves if they leave the group earlier than 5 pm and are allowed to leave unaccompanied) *

Home Address *

School *

Woodchurch Primary School

Homewood School

Other:

I am / am not happy for my details to be stored on the All Saint’s secure database *

I am

Am not

I am / am not happy for my details to be stored on the KCC Youth Hub's secure database and used to inform you of KCC youth Hub's offerings (email only) *

I am

Am not

I am / am not happy for my child's photo to be used for Blend publicity *

I am

I am not

Are there any medical conditions or allergies that we need to be aware of? *

Submit

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