Dream BiG Young Parents Hub registration form

How did you find out about this opportunity?

If other, please specify

Name

First Name

Last Name

Mobile number

Email address

Full postal address

Date of birth

YYYY

Do you have a child between 0 and 5 years old?

If so, how many children do you have between 0 and 5 years old?

To help us to support you the best we can during your experience with us, please answer the following 2 questions

Do you have a social worker?

Does your child / children have a social worker?

Do you have any disabilities?

The Disability Discrimination Act 1995 defines a disabled person as anyone with ‘a physical or mental impairment, which has a substantial long-term adverse effect on his or her ability to carry out normal day-to-day activities

If yes, please provide accurate information. Please also detail any information that BiG needs to be aware of to make your experience engaging in this programme the best it can be

BiG C.I.C will be recording some activities for training and marketing purposes. We will use recordings to edit and produce marketing films and material and create still shot images, and will post on the BiG C.I.C. website, other social media platforms, and publish in promotion / training material. Please select all the following options where you consent to appear in video clips and still shots for this purpose:

Website

Instagram

Twitter

Facebook

Youtube

Promotion material

Training material

All the above

I do not consent

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