Disabled Children & Participation Registers

Who are you?
Your status
If completing this on behalf of someone else:

Now we need some information about the person you are completing this form for.

Child / Young Person's Details
Child's Address:
You must be 13 years of age or over to add your own details to the Disabled Children & Participation Register
You must be 13 years of age or over to add your own details to the Disabled Children & Participation Register
Your Details
Required field.
Required field.
Address:
Required field.
Required field.
Please provide a minimum of either an email address or telephone number with which we can contact you
Please provide a minimum of either an email address or telephone number with which we can contact you
Data Protection:

I agree for this information to be securely stored on the local authority Participation / Register of Children with Disabilities database. I understand that as a secondary use, the information provided may be shared with other council teams, or shared with partner agencies for statistical purposes only. I understand that this register is a voluntary one and I confirm I have been informed that I may request at any time for the information to be removed.

Please confirm that you have read and understood our data protection statement
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