Registration details

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* 1. Young Person's Full Name (as it should appear in a programme)

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* 2. Date of birth of young person

Date

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* 3. Please select which group you'd like to join

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* 4. Address

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* 5. Postcode

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* 6. School Attended

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* 7. Parent/Guardian's Full Name

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* 8. Relationship to Young Person

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* 9. Email address (Payment details will be sent to this email address)

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* 10. Home Tel Number

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* 11. Mobile Tel Number

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* 12. Alternative Emergency Contact Name (this person will be contacted if we cannot get hold of the above in an emergency and will need to be able to collect the young person if necessary)

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* 13. Relationship to Young Person

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* 14. Tel Number

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* 15. Are there any access needs we may need to be aware of? (e.g. mobility)

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* 16. Are there any medical conditions we may need to be aware of? (e.g. allergies, any regular medication taken)

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* 17. Is there anything we can do to support the young person's participation?

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* 18. Is the young person a young carer?

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* 19. Please tick the boxes if you DO consent to the following:

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* 20. You acknowledge that it is the parent/guardian's responsibility to update Wiltshire Creative with any change in contact details

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* 21. Payment

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* 22. Exemptions for face coverings young people in academic years 7 and upwards:

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* 23. Has the young person tested positive for COVID-19 in the last 7 days?

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* 24. Is the young person waiting for a COVID-19 test or the results?

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* 25. Does the young person have any of the following symptoms:
- New, continuous cough*;
- High temperature or fever;
- Loss of, or change in, sense of smell or taste?

* A new, continuous cough means coughing for longer than an hour, or
three or more coughing episodes in 24 hours.

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* 26. Does the young person live with someone who has either tested positive for COVID-19 or had symptoms of COVID-19 in the last 14 days?

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* 27. You acknowledge that it is the parent/guardian's responsibility to inform Wiltshire Creative should the young person experience symptoms of and/or test positive for COVID-19 at the earliest opportunity

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