Workshop Sign Up Form
Please complete this form to request a space on one of our workshops. We will email you to confirm your space. Please note, confirmations may end up in your email junk folder.
Workshop
What workshop are you signing up for?
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Bury SEN & Young Carers
Thetford Young People's Project
About the Young Person
Name of Young Person
*
First Name
Last Name
Preferred Name (if applicable)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
/
Day
/
Month
Year
Date
Age
*
Gender
*
Medical/Health Information
Does the Young Person have any SEND requirements?
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Yes
Awaiting Assessment
No
Does the Young Person have any medical requirements?
*
Yes
No
If yes, please give more information
*
Does the Young Person have any allergies?
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Yes
No
If yes, please give more information
*
Any other information we need to know?
*
Emergency Contact Details
Parent/Guardian Name
*
First Name
Last Name
Your Email
*
example@example.com
Your contact Number
*
Please enter a valid phone number.
Format: 00000000000.
Consent
Do you give consent for your child to appear in photos or video footage taken during workshops? This may be used for purposes such as social media, promotional materials, or funding applications.
*
Yes
No
All work produced during The Offshoot Foundation workshops is owned by The Offshoot Foundation. Do you give consent for your child's work to appear on social media platforms (e.g. YouTube, Facebook) or our website?
*
Yes
No
Submit
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