Sensory and Physical Disability Session
This form is for booking on to the Parent Carer Hub. All information is treated confidentially and will only be used for the purposes of booking on to the event. The information you will provide will only be kept for as long as necessary and will only be passed on to the professional the 1:1 session will take place with (this is to enable them to gather any information ahead of time and make the best use of the limited time for your session) We cannot process a booking unless this form is completed in full.
Booking Essential as spaces are limited to 6 for the whole session.
The Sensory and Physical Support Service aims to ensure the inclusion and achievement of children and young people with sensory and physical impairments and the building of expertise and capacity within schools in Peterborough, in line with current local and national strategies.
Date: Monday 29th June, 2020
Time: 1pm to 4pm
Venue: The Goldhay Centre, 105 Paynels, Peterborough, PE2 5QP
Details: Book a 1:1 session with a member of the Sensory and Physical Support Service (each session is for 30 minutes)
Name (First and Last)
Address (including post code)
Preferred Time Slot
We will accommodate your preferred time slot where can
1pm to 1.30pm
1.30pm to 2pm
2pm to 2.30pm
2.30pm to 3pm
3pm to 3.30pm
3.30pm to 4pm
Child/ Young Name
Child/ Young Person Age
Child/ young person area of need
Child/ Young Person Educational Details (setting attended if applicable, whether on full time/ part time timetable, whether home educated etc)
Please provide a brief description of area of concern to be discussed
I understand that the information being provided to Family Voice Peterborough will be used to contact me regarding my booking and attendance at events, training and activities. I agree to my details being used by Family Voice Peterborough in order to monitor demographics and attendance at said events, and that my personal details will not be shared with any 3rd parties. I understand that I may withdraw my consent at any time by emailing
Send me a copy of my responses.
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