Complete Registration

Complete this form before the young person attends a club to ensure we have all the necessary information.

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Who is completing this form? *

About the young person

Please tell us about the young person who will be attending our clubs or activities. We use these details to keep the right records, contact you if needed, and make sure we're supporting the right person.

About you

Please tell us about who will be attending our clubs or activities. We use these details to keep the right records, contact you if needed, and make sure we're supporting the right person.

First name *

Last name *

Known as / nickname

Date of birth *

Pronouns

School / college

Year group

Home Address *

Young person's contact details (if applicable)

For older young people. Leave blank if not appropriate.

Contact details

Young person mobile number

Mobile Number

Young person email address

Email address

Is it ok to contact the young person directly about sessions?

Yes, by text
Yes, by email
No, please only contact parent / carer

Photo for identification

Drag & Drop Files, Choose Files to Upload

This is used only so staff can safety identify them during sessions and will not be used on social media, the website or publicity.

Main parent / carer details

Please give us the best ways to contact you and an emergency contact. If you are a parent or carer, we'll ask for your details. If you're 18 or over and completing this for yourself, you can give your own details and someone we should contact in an emergency.

Main parent / carer full name *

Relationship to young person *

Phone number *

Email address

Do they have parental responsibility *

Second parent / carer full name

Phone number

Email address

Do they have parental responsibility

Emergency contact

Please give details of someone we can contact quickly in an emergency (this can be different from the main parent / carer).

Emergency contact full name *

Relationship to young person *

Emergency contact phone number *

Emergency contact secondary phone number (optional)

Medical, health & additional needs

This section helps us keep the young person safe and well during sessions. Please include any medical conditions, medication, allergies, disabilities, mental health needs or support needs, and anything that helps them take part comfortably. If something doesn't apply, you can select "No" or leave it blank where appropriate.

Medical, health & additional needs

This section helps us keep you safe and well during our sessions. Please include any medical conditions, medication, allergies, disabilities, mental health needs or support needs, and anything that helps you take part comfortably. If something doesn't apply, you can select "No" or leave it blank where appropriate.

Does the young person have any medical conditions we should know about? *

No
Yes - please give details

Do you have any medical conditions we should know about? *

No
Yes - please give details

Medical condition details

Does the young person take any regular medication? *

No
Yes - please give details

Do you take any regular medication? *

No
Yes - please give details

Medication details (name, does, when taken, who administers it)

Allergies *

No known allergies
Food allergies - please specify below
Medication allergies - please specify below
Environmental (e.g. pollen, animals) please specify below
Other - please specify below

Does the young person have an inhaler, Epipen or other emergency medication? *

No
Yes - please give details

Do you have an inhaler, Epipen or other emergency medication? (copy) *

No
Yes - please give details

Emergency medication details (including whether it will be brought to sessions)

Dietary needs

None
Vegetarian
Vegan
Halal
Kosher
Allergy-related (see above)
Other - please specify below

Other dietary information

Does the young person have any additional needs, disabilities or mental health needs we should be made aware of? *

No
Yes - please specify

Do you have any additional needs, disabilities or mental health needs we should be made aware of? *

No
Yes - please specify

Additional needs / support details

Is there an EHCP or support plan in place at school or college

Key points from EHCP / support plan

What helps the young person take part and feel safe? (optional)

For example: quiet space, clear instructions, extra time, visual supports, breaks, etc.

What helps you take part and feel safe?

For example: quiet space, clear instructions, extra time, visual supports, breaks, etc.

GP surgery name (optional)

GP surgery phone number (optional)

Travel, consent, membership & declaration

Finally, we need to know how you / the young person usually travels to and from sessions, and to record your permissions. You can choose to sign up as a member of UTurn. Please read each permission carefully and tick the boxes that apply. At the end, you'll be asked to confirm that the information you've given is accurate and to sign the form as a parent / carer (for under 18s) or as the young person (if you are 18 or over).

Travel, collection & going home

How does the young person usually travel to and from sessions?

Collected by an adult
Walks
Public transport
Car
Other - please specify below

How do you usually travel to and from sessions?

Collected by an adult
Walks
Public transport
Car
Other - please specify below

Other travel information

Adults who are allowed to collect the young person

Please list names and relationships.

Do you give permission for your child to leave the session and go home alone? *

No - my child must be collected by an adult.
Yes - my child may leave alone after the session.

Behaviour & Safety

Are there any behaviour or safety concerns we should be aware of that might affect sessions?

No
Yes - please give details

Behaviour / safety details

What helps if the young person is upset, anxious or overwhelmed?

What helps if you are upset, anxious or overwhelmed?

Consent

First aid consent *

I give permission for basic first aid to be given to my child if needed during UTurn's activities.

First aid consent *

I give permission for basic first aid to be given to me if needed during UTurn's activities.

Emergency medical treatment *

In a serious emergency, I consent to my child receiving any medical treatment considered necessary if I cannot be contacted, and understand I will be contacted as soon as possible.

Emergency medical treatment *

In a serious emergency, I consent to receiving any medical treatment if my emergency contact cannot be contacted, and understand they will be informed as soon as possible.

Photo and video consent

I agree to internal use (e.g. displays, reports to funders).
I agree to use on website, social media and printed materials.
I do NOT give permission for my child's image to be used.

Photo and video consent

I agree to internal use (e.g. displays, reports to funders).
I agree to use on website, social media and printed materials.
I do NOT give permission for my image to be used.

How would you prefer us to contact you about bookings and updates?

WhatsApp
Phone call
Email

Is it ok to add you to the UTurn Whatsapp group, for updates about sessions?

Becoming a UTurn member

Members: * Can take part in suitable clubs, workshops and activities (subject to availability and age limits) * may receive information about new sessions and opportunities *receive a free club t-shirt as part of their membership.

Would you child like to sign up as a member of UTurn?

Yes - sign up as a member
No
Find out more information

I would like to sign up as a member of UTurn?

Yes - sign up as a member
No
Find out more information

Declaration

Declaration *

I confirm that the information I have provided about my child is accurate and I will let you know if anything changes.

Declaration *

I confirm that the information I have provided about myself is accurate and I will let you know if anything changes.

Parent / carer full name

Your full name

Date

Complete Registration

Complete this form before the young person attends a club to ensure we have all the necessary information.

About the young person

About you

Young person's contact details (if applicable)

Contact details

Main parent / carer details

Emergency contact

Medical, health & additional needs

Medical, health & additional needs

Travel, consent, membership & declaration

Travel, collection & going home

Behaviour & Safety

Consent

Becoming a UTurn member

Declaration

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Contact