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Your Information First Name * Surname * Date of Birth * Year Group * School Attended * Home Address * Post Code *

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Parent/Guardian Information Relationship to Young Person *

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Parent/Guardian Full Name * Parent/Guardian Email Address * Parent/Guardian Phone Number *

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Medical Information Does the young person have any medical conditions or allergies which we should be aware of? *

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Does the young person have any disability/SEN needs about which we should be aware? *

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Is the young person taking any medication? *

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In an emergency, if I cannot be contacted, I give permission for my young person to receive first aid or necessary hospital treatment. *

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Safeguarding Do you consent to videos & photos being taken of your young person for local display or publicity? *

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Do you consent to unnamed photos & videos being used on our social media platforms such as Facebook & Instagram? *

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Can we share your information with our delivery partners? *

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Is the Young Person in receipt of free school meals? *

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