Name of child *

First Name

Last Name

Do you consider your child to have a disability? *

The Disability Discrimination Act 1995 defines a disabled person as anyone with ‘a physical or mental impairment, which has a substantial long-term adverse effect on his or her ability to carry out normal day-to-day activities’.

Yes

No

If yes, what is the nature of the disability?

Please also detail below any important information that BiG needs to be aware of to make your experience engaging in a BiG Youth Engagement event the best it can be

Visual impairment

Hearing impairment

Physical disability

Learning disability

Multiple disability

Other (please specify)

Do you have access to the internet and does your child have an adequate device to engage in the inspirational activities online? *

All activities with be delivered using Zoom and a lot using the nearpod education online browser tool so all participants must have access to the internet, Zoom and a device to participate

Yes

No

Do you have access to the internet / Zoom but do not have a device for your child to participate?

We are currently able to support some children and young people by providing some devices to those in need, thanks to Government, in partnership with the National Lottery Fund

Yes

No

Please select all the following options where you consent for your child to have their pictures and / or any video clips they appear in to be published in all / any / none of the following: *

BiG C.I.C will be recording all of its online activities and programmes for training and marketing purposes. We will use recordings to edit and produce marketing films and material and create still shot images, and will post on the BiG C.I.C. website, other social media platforms, and publish in promotion / training material.

I do not consent

On the BiG C.I.C. website

On the BiG C.I.C. instagram

On the BiG C.I.C. Twitter

On the BiG C.I.C. Facebook

On the BiG C.I.C. Youtube Channel

On the BiG C.I.C. TiKTok

In BiG C.I.C. promotion material

In BiG C.I.C. training material