NCS ONLINE SIGN UP FORM FOR SUMMER 2019
Please complete all fields.
Find out more information at
Which Wave would you like to take part in? *
Wave 1: 22nd July- 16th July 2019
Wave 2: 5th August- 30th August
Date of Birth *
Home Address *
White & Black Caribbean
White & Black African
Any other White Background
Any other Black Background
Any other Asian Background
Any other Mixed Raced Background
Any other Ethnic Group
Prefer Not To Say
Recommend your friends
NCS isn't just about making new friends, you can expand your friendship group too.
Any Friends to Recommend? Name and Contact Number or Email
For Parents and Guardians
Parent/Guardian Name *
Parent/Guardian Home Address *
Parent/Guardian Email Address *
Mobile Number *
Home Number *
Relationship to young person *
Doctor's Name *
Telephone Number *
Authorisation is given for NCS staff to administer First Aid and/or transfer my young person to hospital should an emergency arise? *
Medical Permission *
My child can administer their own medication
My child will need assistance to administer their medication
In the event of your child suffering from a common ailment would you agree to the following medications being offered to your child?
Please enter details of any other medical conditions, dietary requirements or allergies here *
NCS includes new environments and challenges. Please help us keep your child safe by answering the questions below. My Child: *
Has special educational needs
Is in care or has recently left care
Requires a same-gender group
Requires access to prayer facilities
one of the above are applicable
My child can swim 50 metres *
The total cost of the NCS programme is over £1500. We ask parents/guardians to contribute £50 towards this cost. There is no payment required if your child is entitled to Free School Meals, or was entitled when in secondary school.
Sometimes we do limited deals for £35.
I agree to the contribution of £50 or £35 to the cost of my child's NCS experience
I am exempt from payment as my child is entitled to Free School Meals
We ask for a cheque, made payable to Cambridge United Youth and Community Trust, to be sent to The NCS Team, Cambridge United Community Trust, Abbey Stadium, Newmarket Road, Cambridge, CB5 8LN.
Alternatively, payment can be made by card, please call our NCS Team on 01223 632129.
Before places are finalised, payment must be received.
. You can withdraw your consent by contacting
NCS has limited amount of places. Each NCS place receives funding of over £1500 from the government. If young people give up their place close to the start of programme the place can be very difficult to re-fill, meaning wasted government funds and wasted opportunities for young people. Please help us by agreeing to the pledge below:
I will do everything I can to ensure I am able to fully complete my NCS programme. If i cannot take part i will let my NCS provider know at least one month in advance.
Start your journey now!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service