YOUth at the National Justice Museum

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* 1. Young Person's Name

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* 2. Young Person's Age

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* 3. Young Person's Contact Details

Phone

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* 4. Emergency Contact Details

Name

Contact number

Relationship to young person

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* 5. To be completed by parent or guardian
Do you give permission for us to take photos and/or videos of your child/young person? These may be shared on social media and or used for marketing purposes. You can contact us to revoke consent at any time.

Yes

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* 6. Does your child/young person have any allergies we should be aware of?

Yes

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* 7. If yes, please provide more details

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* 8. Does your child/young person have any medical conditions, long-term health conditions or disabilities we need to be aware of?

Yes

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* 9. If yes, please provide more details

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* 10. Are there any sessions you are aware you can’t attend?

Yes

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* 11. If yes, which sessions?

24th January

28th February

28th March

25th April

23rd May

27th June

25th July

22nd August

YOUth at the National Justice Museum

Question Title

* 1. Young Person's Name

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* 2. Young Person's Age

Question Title

* 3. Young Person's Contact Details

Question Title

* 4. Emergency Contact Details

Question Title

* 5. To be completed by parent or guardian Do you give permission for us to take photos and/or videos of your child/young person? These may be shared on social media and or used for marketing purposes. You can contact us to revoke consent at any time.

Question Title

* 6. Does your child/young person have any allergies we should be aware of?

Question Title

* 7. If yes, please provide more details

Question Title

* 8. Does your child/young person have any medical conditions, long-term health conditions or disabilities we need to be aware of?

Question Title

* 9. If yes, please provide more details

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* 10. Are there any sessions you are aware you can’t attend?

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* 11. If yes, which sessions?

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* 12. Is there anything else we need to know?

* 5. To be completed by parent or guardian
Do you give permission for us to take photos and/or videos of your child/young person? These may be shared on social media and or used for marketing purposes. You can contact us to revoke consent at any time.