Herefordshire Christmas Dinner - You're Invited :) 
**CHRISTMAS DAY
**CENTRAL HEREFORD
**18-25s, Care Experienced

The Christmas Dinner was founded in 2013 by poet and writer, Lemn Sissay. Since 2013 the
idea has spread across the UK. 

Each Dinner has its own local flavour and is organised by teams of volunteers drawn from the local community. They come together to provide a special and fun-filled Christmas day for care-experienced young adults aged between the ages of 18 and 25 who otherwise would be alone on Christmas Day.

The Dinner will start about 12 noon and continue until about 6:00pm, we will confirm the specific times nearer the day.

We would like to invite care experienced young people aged between 18 and 25 years who would otherwise be alone on Christmas Day, to be our guests. We welcome young people from all ethnic backgrounds and faiths who are living in the local area. A group of carefully chosen Hosts will be available all day on Christmas day to make sure the event is a really amazing and memorable experience for guests. 

Transport to and from the venue will be provided.

This form is for basic information about the Guest who would like to be included in this event. This is required to enable us to make this a success for those who will be joining us. 
With the Guest’s prior consent, where at all possible, this form needs to be completed by a professional worker, but we will happily accept registrations from young people themselves where this is not possible. 
All information will be stored in accordance with GDPR data protection legislation and will only be used in relation to contacting the young person in order to confirm arrangements if they are allocated a place at the event.
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Full name of guest
How do they describe their gender?
What is the Guest’s preferred pronoun?  (He/She/They)
Date of Birth
MM
/
DD
/
YYYY
Address of the Guest including postcode, if known
Telephone
e-mail address
Best way / time to contact
Current accommodation
Local Authority supporting the young person
Does the Guest have any children of their own that they would like to bring along with them?
If yes please indicate age, name/s and if they are male or female.
Is there anything we need to know in relation to issues of risk and/or vulnerability? In order to try to keep all the young people that attend this event safe, it is important that you are honest when answering this section of the form. Information given will only be used to ensure that all those taking part remain safe and have their needs addressed during the event. This information should include physical or mental health; substance and/or alcohol misuse; how you get on with other young people in groups.
As we will be providing transport on the day, we need to know if the young person is able to be picked up and dropped off at a designated point, or whether they would need to be picked up and dropped off at their address?
Is the young person able to get to a pickup point in central Hereford?
Please indicate whether the young person (or any children they may wish to bring with them) have any specific dietary requirements
Vegetarian
Vegan
Gluten-free
Halal
Any other please state:
Please indicate whether the young person (or any children they may wish to bring with them) have any allergies or specific needs about which we need to be aware.
In order to help us provide gifts that the young person will appreciate, it will help us to get the right gifts if you are able to tell us the top three things they enjoy doing?
Name of Person completing this form
If not the Young Person:
Job Title
Full contact details
Telephone Number
I give consent that any photographs or images taken of me during The Christmas Dinner event may be used for publicity purposes associated with this event. This may include press, leaflets or other forms of media. I understand that my confidentiality will not be breached and I will only be referred to by first name only. I acknowledge that I do not own the copyright of
any of the images taken.
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Thank you for taking the time on this!   We will confirm allocated places by 10th December at the latest.
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