* 1. a. Name of child/young person
(Contact details of relevant person) b. Address, c. Email, d. Phone number

* 2. Age of child/young person

* 3. Child/young person hearing status

* 4. Child/young person's preferred communication method (can choose multiple)

* 5. Child young person wear any hearing devices?

* 6. Has anyone in your group attended BSL classes before?

* 7. Do you think family BSL classes would be beneficial and make a big difference to your child/you/your group

* 8. which class group would your prefer?

* 9. Can you attend all the dates of your chosen class?