Redgate Sports: Referral Form not attending education

Redgate Sports: Referral Form

Child not attending education
We need the information on this form to complete the referral process. However, we do not necessarily need all this information straight away. It could be that you fill out some of the information and then we talk through some of the outstanding areas.

How can we help?
Can you describe the support you are looking for - if not just put 'discuss options'*

Information about the child being referred
Name

First NameLast Name
Date of Birth

DayMonthYear
School year
Child's gender + any gender related issues we need to be aware of
Please give some background on the child - eg any diagnosis / previous issues
Please give some background on why the child is not attending education
Any allergies, medications, or other medical issues we should be aware of
Has this referral been suggested or signed off by the WCF 'Children not attending education' team?
Does the child have a social worker / support worker - can you share name and contact number
We hold this information on record, however, we do not contact them without letting you know first

Information about home
Parent / Carers Name

First NameLast Name
Who else is at home - other significant people
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Is there anything more about home that we need to be aware of with regard to our risk assessment?
Should be Empty: