Young Carer Registration Form

Family Carers Ireland's are running a Sibshop for young carers.

Sibshops are workshops for siblings of children with additional needs, and are a great opportunity to:

Meet other sibs (usually for the first time);
Have fun;
Talk about the good and not-so-good parts of having a sib with additional needs with others who “get it”;
Play some great games;
Explore how other brother and sisters handle sticky situations sometimes faced by brothers and sisters;
Laugh
Have some more fun!

Firstname:*

Lastname:*

Todays Date:

Date of birth:*

Date

Gender:*

Age:*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email:*

Confirmation EmailPlease enter a valid email address.

Mobile Number*

Please enter a valid phone number for the young carer.

Does your child have any medical conditions or food allergies we need to be aware of?*

YesNo

If yes, please give details below.

Is your child taking any medication?*

YesNo

If yes, please give details.

Are there any foods your child does not like?*

Code of Behaviour

Be kind: No judgmental attitudes, hate speech or bullying. Negative, hurtful or offensive comments will not be tolerated. We work to encourage each other. The group should be a safe space for members to express themselves.

Respect others: Respect the different opinions of everyone in the group and listen. Healthy debates are natural, but kindness is required. Keep discussions to the appropriate, designated time for discussion. Follow the instructions of the leader(s).

Respect privacy: No taking photos, videos or voice recordings of the group. Do not tag other people in photos or posts on social media without their permission.

Be honest: Make a leader aware if you are feeling uncomfortable due to a person or topic being discussed. If you need a break do not be afraid to ask.

Be careful: Being part of this group requires mutual trust. Discussions make groups great, but may also be sensitive and private. The group forum is not a suitable place for anyone taking part to disclose that they themselves or someone they know is at risk of abuse. Should anyone have a safeguarding concern please contact Family Carers Ireland’s DLP Padraig McGrath at pmcgrath@familycarers.ie.

Respect confidentiality and do not gossip: if you are telling a story about someone, ask yourself, “Is this my story to tell?” Do not talk about other people without permission: this includes your family members. Always respect confidentiality: what is said in the group, stays in the group, unless there is a safeguarding concern.

Breach of the Code: Any young person who breaks the rules or acts inappropriately while in the group, parents / guardians will be contacted to collect them.

Attendance Log: I acknowledge that an attendance log will be retained by Family Carers Ireland in accordance with Safeguarding Policies and Procedures.

Data Protection

Family Carers Ireland is committed to compliance with GDPR in order to protect the rights of you the Data Subject.

Family Carers Ireland collect, use and is responsible for your personal information stored. Family Carers Ireland is regulated under the General Data Protection Regulation , which applies across the European Union and Family Carers Ireland is responsible as controller of that personal information for the purposes of those laws. For the purposes of Data Protection laws, Family Carers Ireland is the Data Controller of personal data covered by this policy. Please see our full Data Protection policy on www.familycarers.ie/privacy.

I consent to participating in this Sibshop*

Yes

I consent to being photographed and recorded for Family Carers Ireland marketing and promotional purposes.

Yes

I have read, understand and agree to follow the Code of Behaviour.*

Yes

I consent to being contacted about future events and activities organised by Family Carers Ireland. You can learn more about your rights and our obligations as Data Processors in our Privacy Policy on our website at www.familycarers.ie/privacy.

Yes

Young Carer Signature *

Date

Firstname:*

Lastname:*

Email:*

Confirmation EmailPlease enter a valid email address.

Phone Number*

Please enter a valid phone number.

I consent to my child participating in this Sibshop.*

Yes

I consent to my child being photographed and recorded for Family Carers Ireland marketing and promotional purposes.

Yes

I the parent / legal guardian of the above named participant, have read the code of behaviour and I will ensure that the participant reads and understands the code of behaviour.*

Yes

I consent to the data on this form being collected and stored in Family Carers Ireland secure database. You can learn more about your rights and our obligations as Data Processors in our Privacy Policy on our website at www.familycarers.ie/privacy.*

Yes

I consent to being contacted about future events and activities organised by Family Carers Ireland.

Yes

What is your preferred means of contact?

What are your areas of interest?

Parent/Legal Guardian Signature*

Date

Sibshop

Young Carer's Personal Information

Important Information

Young Carer's Consent

Parent/Legal Guardian' Personal Information & Consent