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February Half Term Teenscheme 2024
Parent/Carer Consent Form. Any enquiries call 07533914575
Please fill out
one form
per young person.
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Details of Young Person
Please use this section to fill out the young person's information
First Name
*
Your answer
Surname
*
Your answer
Address
*
Your answer
Postcode
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Other:
Age
*
Your answer
School
*
Your answer
Year Group
*
Your answer
Ethnic Origin
*
Black African
Black Caribbean
Somalian
Black U.K.
Asian Bangladeshi
Asian Chinese
East African Asian
Asian Indian
Asian Pakistani
Asian Sri Lankan
Asian U.K.
Greek
Greek Cypriot
Italian
Turkish
Turkish Cypriot
Irish (Eire)
White U.K.
White Portuguese
White Polish
Other:
Does your child have any medical conditions, disabilities, additional needs or dietary requirements that we should be aware of?
*
Yes
No
If yes, please provide details
*
Your answer
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