Child Safety Matters Sign Up

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Please use this form to sign your child up. If you have more than one child, you will need to do one for each child.

Childs Name *

Parent Name *

Parent Email *

Parent Contact Number *

What school does your child attend? *

Year Group *

I understand that my child will engage in discussions and activities led by trained facilitators around sensitive subjects such as abuse, sexual abuse, online dangers, sexting, and pornography. *

I understand and consent to allowing my child to participate.

I do not understand and would like further information.

Required

I understand that an adult must be present with my child while participating in the lessons. *

I understand and have arranged for an adult to be present.

I do not understand and would like further information.

Required

Please initial below: *

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