Name of child / young person *

First Name

Last Name

Week(s) registering *

Select all relevant weeks you want to register your child for

Week 1 (29th July to 2nd August'24)

Week 2 (5th to 9th August'24)

Week 3 (12th to 16th August'24)

Week 1 and 2

Week 2 and 3

Week 1 and 3

All 3 weeks

Is the participate receiving benefit related free school meals? *

Examples of benefits parent / carer receiving include: • Income Support • income-based Jobseeker’s Allowance • income-related Employment and Support Allowance • support under Part VI of the Immigration and Asylum Act 1999 • the guaranteed element of Pension Credit • Child Tax Credit (provided you’re not also entitled to Working Tax Credit and have an annual gross income of no more than £16,190) • Working Tax Credit run-on - paid for 4 weeks after you stop qualifying for Working Tax Credit • Universal Credit - if you apply on or after 1 April 2018 your household income must be less than £7,400 a year (after tax and not including any benefits you get)

Yes

No

Does the participate live or attend a school in the London Borough of Lambeth? *

Yes

No

If you have selected yes for the previous 2 questions, the participant MAY be entitled to a free place. Will you be prepared to provide reasonable evidence? *

As free places are funded by Department for Education (DfE) who will cross-check details, if you are not prepared to provide reasonable evidence, we MAY not be able to offer you a free space

Yes

No

N/A

Does the participate have any disabilities? *

Yes

No

In addition to completing this initial registration form, you will be required to complete our questionnaire as part of the welcoming process. Do you agree to complete this questionnaire to ensure that we have all allergy and other key information about the participant, and our relevant risk plan actions will be followed? *

Please note that if you do not agree to this process, we will not be able to register your child / children onto this programme

Yes

No

Please select all relevant options where you consent for your child's image to appear in video clips and still shots for marketing and training purposes (see below for more details) *

BiG C.I.C will be recording and taking pictures of many of the activities during this programme for training and marketing purposes. We will use recordings to edit and produce marketing films and these and still images will be posted on the BiG C.I.C. website, other social media platforms, and published in promotion / training material.

I do not consent

Website

instagram

Twitter

Facebook

Youtube Channel

Promotion material

Training material

I consent to all