MANHOOD ACADEMY AIR CYCLE REGISTRATION FORM
Thank you for contacting us. For us to do what we do we need to ask a few questions. You are required to complete this online form. Thank you
Name of the person completing this form *
(Your full name please)
What is your relationship with the young person *
What is your contact email address? *
What is your contact number? *
Mobile or landline
The name of the young person *
Is the young person aware of our programme? *
Young person's full address and postcode *
Young person's Age *
Young person's contact details *
Mobile number
Are their any other professional's involved? *
Social Services, Youth Offending Services etc.
What is your assessment of the risks involved in working with this young person? *
Why do you want this young master to join us? *
What are your concerns?
Main Areas of Support *
Required
Name of School *
Are their any orders, sanctions or anything else that would prevent us working with this young person? *
The investment attached to this AIR cycle is £70 Will you make payment *
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