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Blog
About Us
Our Vision
Who we are
Testimonials
Success stories
Offerings
2024 2025 Activities
Motivation and Wellbeing Programmes
Football & Recreation
Employability Skills
BiG Opportunities
Dream BiG Equalities Football & Coaching Programme
Contact Us
Support us
In Kind
Funding
Sponsor
Donate
Dream BiG Young Parents' Hub
Young Parents' Hub
About us
Our vision
Young Parents Hub TikTok
Dream BiG Young Parents' Sign-Post Tool
Young Parents' Hub Gallery
Free Empowering Girls Workshop - Identity 24 - Registration Form
Name of parent / carer
*
First Name
Last Name
Email address of parent / carer
*
Contact number of parent / carer
*
Relationship to participant
*
Please provide emergency contact details besides yourself
*
Please provide alternative emergency contact number
Name of participant
*
First Name
Last Name
Please state your child's ethnicity
*
Date of Birth of participant
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Does the participant 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’
Yes
No
If so please provide accurate and full details
*
Please detail all important medical information that we need to be aware of. If none please write NONE
Does your child have any allergies?
*
Please list all allergies, including food as snacks may be provided at the workshops
Yes
No
If so please clearly specify all details
Please also detail below any other important information that BiG needs to be aware of to make your experience engaging in football sessions the best it can be
*
If none please select NONE
NONE
Visual impairment
Hearing impairment
Physical disability
Learning disability
Multiple disability
Other
If other, please explain
Do you consider the participant to be at risk?
*
This could mean, anything from being in the wrong friendship group, vulnerable to being recruited by gangs, known to police, known to CAMHS
Yes
No
If so, can yo please explain in your own words?
Is the participant receiving learning support in school?
*
Yes
No
If so can you please explain in your own words
Do you agree to keep your child / children away from football if they are unwell?
*
Yes
No
How will the participant leave the programme at the end of each session?
*
Walking home alone
Being collected by parent / guardian
Going home with another participants
Please select all the following options where you personally consent for your child's pictures and video clips to appear on / in:
*
I don't consent
On the BiG C.I.C. website
On the BiG C.I.C. instagram
On the BiG C.I.C. Twitter
On the BiG C.I.C. Facebook
On the BiG C.I.C. Youtube Channel
On the BiG C.I.C. TiKTok
In BiG C.I.C. promotion material
In BiG C.I.C. training material
All the above
Thank you!