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YOUth at the National Justice Museum
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1.
Young Person's Name
(Required.)
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2.
Young Person's Age
(Required.)
*
3.
Young Person's Contact Details
(Required.)
Phone
Email
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4.
Emergency Contact Details
(Required.)
Name
Contact number
Relationship to young person
*
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.
(Required.)
Yes
No
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6.
Does your child/young person have any allergies we should be aware of?
(Required.)
Yes
No
7.
If yes, please provide more details
*
8.
Does your child/young person have any medical conditions, long-term health conditions or disabilities we need to be aware of?
(Required.)
Yes
No
9.
If yes, please provide more details
*
10.
Are there any sessions you are aware you can’t attend?
(Required.)
Yes
No
11.
If yes, which sessions?
24th January
28th February
28th March
25th April
23rd May
27th June
25th July
22nd August
12.
Is there anything else we need to know?