akidspace Wellbeing Course for Young People (All fields are required) Child’s full name Child’s D.O.B Parent's name Parent's email Parent's contact number Emergency contact number School child attending & school year GP’s details: name/address/contact number Is your child currently receiving any medication or treatment? Is there anything else you feel that we should know about your child? CONFIDENTIALITY & CHILD PROTECTION The sessions are most effective when a trusting relationship exists between the facilitators, the group and the young person. Privacy is especially important in securing and maintaining that trust. It is often necessary for young people to develop a “zone of privacy” whereby they feel free to discuss personal matters with greater freedom. The young person will be asked to sign a confidentiality agreement. If they choose to talk about themselves outside of the group then that is their choice, however we will ask them not to talk about other young people in their group. We will not be discussing the content of the sessions with parents; however if there are any concerns regarding child protection and safe guarding this will be addressed. CANCELLATION POLICY We require a full payment upfront for each six-week course. Please let us know if your child is unable to attend a session, however there will be no refunds of individual session should your child not be able to attend. By ticking the box below, you are indicating that you read and understood the TERMS & CONDITIONS (opens in new tab) and/or that any questions you had about this form were answered to your satisfaction.