Youth club every Tuesday at Auckland Hall. Book your place today!

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Youth Club (teenagers)

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When Every Tuesday, 5:30pm to 7pm
Next dates: Tue 13 Oct, Tue 20 Oct, Tue 27 Oct, Tue 3 Nov, Tue 10 Nov, Tue 17 Nov, Tue 24 Nov, Tue 1 Dec

Price Free

Weekly planned activities at Auckland Hall.

Sign up

One form for each child, please. Fields marked * are required. Sending this form does not guarantee a place, we will contact you to confirm.

About the young person

First name *Last name *

Date of birth *Gender

School *Year group *

Which session?

Younger group, Tuesdays 4pm to 5.30pmTeenagers, Tuesdays 5.30pm to 7pm

Home address

Address line 1 *Address line 2

Town / city *Postcode *

Parent or carer

Your full name *Relationship to the young person *

Mobile number *Email address *

Do you have parental responsibility? *YesNo (please explain in notes)

Emergency contacts

Someone we can call if we cannot reach you. Please give two people if you can.

Contact 1 name *Relationship *Phone *

Contact 2 nameRelationshipPhone

Health, allergies and additional needs

GP surgery nameGP surgery phone

This helps us keep your child safe and make sessions work for them. It is kept private and only seen by staff who need it.

Does your child have any allergies? *YesNo

If yes, what are they and what happens if your child has a reaction?Medical conditionsFor example asthma, diabetes, epilepsy.Medication needed during sessionsName, dose and when. Staff may need to speak to you first.

Disability, additional needs or SEND (tick all that apply)AutismADHDLearning difficultySpeech, language or communication needsPhysical disabilitySensory needs (sight, hearing, sensory processing)Mental health needsOtherNone

Does your child have an EHCP or SEN support plan at school?YesNoNot sure

Tell us more about their needs and what helps themDietary requirementsFor example halal, vegetarian, vegan, no pork.Anything else we should know?

Permissions

How will your child get home? *Collected by an adultWalks home with friends or siblingsWalks home alone

If collected, who by? (names)Is there anyone who must NOT collect your child?Tell us in confidence. Only staff who need to know will see this.

Photos *Yes, photos may be used on our website and social mediaPhotos for internal records onlyNo photos of my child

I give permission for staff to get emergency medical treatment for my child if I cannot be reached.

I agree that Winnr Sport CIC may store the information on this form, including health and additional needs information, to run sessions and keep my child safe. I have read the privacy notice.

I have talked to my child about the session rules and behaviour expectations.

Having trouble booking online, or can no longer come? Message us and we will sort it out. Cancelling early lets another family have the place.

←Youth Club (younger group)

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