BUSY Project at Home for 13+

BUSY Project at Home for 13+

Permissions for young people aged 13 and over to join in with BUSY Project online groups
Name of Young Person

First Name Last Name
Date of Birth

Month Day Year
Date
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
School attending:
Any known Additional Support Needs:

Yes No
If yes, please indicate Additional Support Needs and how we can accommodate them during a video chat.
I am happy for the BUSY Project to post my child an encouraging postcard, or a prize for a challenge.

Yes, that's fine. No, thank you.
Online Connect groups are for young people aged 13 and over. I confirm that my child is aged 13 or over

Yes No.
Parent/Guardian Details
Parent/Guardian Name

First Name Last Name
Parent/Guardian Email Address. This is where the Zoom link to our online groups will be sent.
example@example.com
Parent/Guardian Phone Number
Other relevant Phone Number (Home/other relative)
I understand that The BUSY Project will make no audio/video recordings of our Online Groups.

Yes No
I confirm I have told my child it is forbidden for them to record our Online Groups, make screen-grabs or take photographs. If they are found to have done this, they will be removed from the group.

Yes, I have told them. No.
Parental Consent
By submitting this form, I am giving permission for my child to participate in The BUSY Project's online zoom youth groups. I confirm that the details are correct and complete to the best of my knowledge.
Should be Empty:

BUSY Project at Home for 13+

Parent/Guardian Details