Redgate Sports: Referral Form child in education

Redgate Sports: Referral Form

Child 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.

We need one form completed per child. So, please just repeat the process for each child. However, don't repeat information unnecessarily.

Information about Person/School Completing Referral
Name of school or other referring organisation*
Referrer's name*
Referrer's Email*
Referrer's phone number*
How can we help? Describe the support you are looking for - or just put 'can i 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 / relevant history
Please describe the current issues that are presenting
Any allergies or other relevant medical issues we should be aware of
How does the child meet our criteria for support? (tick all that apply)*

In care or care experiencedSpecial Educational NeedLow income family (free school meal)Vulnerable in home/school/communityAt risk of exclusion
Should be Empty: