Registration/Consent Form
Fields marked with an * are required
Email address *
Young & Talented branch *
Student's Full Name *
Age *
Date of birth *
MM
/
DD
/
YYYY
Gender *
Ethnicity *
*Your own definition of your ethnicity
Medical Details, Allergies & Medication *
Disability / Needs *
Present School *
Student's email address
Parent/Guardian Full Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Parent/Guardian Address *
Parent/Guardian Post Code *
Emergency Contact Name (must be different from the name above) *
Emergency Contact phone number (must be different from the name above)
Please answer the following statements *
Yes
No
I give consent to the administering of any necessary medical attention
I give permission for my child to be photographed/ filmed for Y&T general publicity
I give permission for my child to go home alone
I have read and agree to the T&Cs
Best time to call *
Required
Thank you for completing this registration form.
We will be in touch with further information on term dates and joining. There will be a £20 registration fee for all new joiners.
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