Step 1 of 4 25% IdentityParticipants DetailsName* First Last Date of Birth* DD slash MM slash YYYY School Year*ReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Home Address* Street Address Address Line 2 City Post Code Home Phone*Parents Mobile 1*Parents Mobile 2 Emergency Contact DetailsPlease provide alternative phone numbers in case of any emergencyEmergency Phone Number 1*Emergency Phone Number 2*Emergency Contact Address* Street Address Address Line 2 City Post Code Relationship to Young Person* Medical DetailsPlease provide full details of any medical condition your child may suffer from. This shall be used in case of an emergency.Does the participant suffer from any medical conditions?* Yes No Please state the medical condition:*Please state any medication required:*Is the participant allergic to any medication?* Yes No Please state clearly the medication the participant is allergic to*Is the participant fit to take part in the programme of activities?* Yes No Please state clearly why the participant is not fit to take part*Does the participant have any dietary needs?* Yes No Please state clearly the participants dietary needs* Details of Family DoctorDoctors Name* First Last Doctors Phone*Doctors Address Street Address Address Line 2 City Post Code Liability of personnel property & General Data Protection Policy (GDRP):Achievable Ways Of Living will not be held responsible for any damage or loss to personal property belonging to any member. If a member brings a mobile phone or any other personal property it is their responsibility. We encourage all parents/ Guardians to make sure that their child does not bring any valuables along to any session. No Achievable Ways Of Living Staff can legally look after any personal property of any member. In Line with recent changes to both European and UK Data Protection Laws most notably the introduction of General Data Protection Regulation (GDPR) we have incorporated them into our own policies and operations. This has also made it necessary to make alterations to our Data Protection Policy (DPP) to reflect your enhanced rights under this new legislation and to let you know that these documents are available to you. These updates to our DPP include details about: • The types of personnel data we collect and how we use it • How we protect your personnel data • Your rights relating to the personnel data that we hold about youMedia ConsentI provide my consent for photographs to be taken of my child and used for any publicity material to promote the work of Achievable Ways Of Living.* Yes No Name of Child* First Last
