Hackney Shed Collective Registration form 2019/ 2020 Logo
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  • Hackney Shed Collective Registration Form

    To work with you we need some information. This information is important so we know how to contact you and what your needs are.
  • ALL DETAILS WILL BE TREATED AS STRICTLY CONFIDENTIAL

    FOR ALL MEMBERS UNDER THE AGE OF 18 A PARENT OR CARER MUST SIGN THE FORM

  • Please fill in all the blank boxes in this form

    We can provide easy read forms to be printed and then scanned/ brought on day of the workshop - if you would prefer an easy read form please let us know

    If you need support filling in this form please contact us:
    Phone:     07927 082 592

    Email:      anna@hackneyshed.org.uk

                   vicki@hackneyshed.org.uk

     

    Please be aware we are all part time and it may take us a few days to respond to you

     

  • Participants details

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  • Travel Information

  • Support Needs

    The next questions are about your needs and how we can best support you. Knowing about your special educational needs, disabilities or any other needs means we can make sure we are supporting you. You do not have to share with us any information you do not think is relevant or you do not feel comfortable sharing.
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  • *Hackney Shed is unable to support with personal care or medication.
    If you need support with any of this you will need to come to sessions with a support worker

  • Emergency Contacts

    Please ensure that these are numbers we can ring if for any reason we need to contact anyone in an emergency during the session
  • Emergency contact one

  • Emergency contact two

  • Permissions

    This section is asking you to say if you are happy for Hackney Shed to do different things
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  • Signatures

    Please sign below if you agree all the information on this form is correct.
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  • Supporters information (if appropriate)
    If you are under 18 YOU MUST also have the signature of a parent/ carer.
     
    I confirm that the information on this form is correct. I consent to my child attending Hackney Shed. I agree with the travel arrangements for my child as stated on this form

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