Families for Life booking form for parents
Time Elapsed:
0
minutes
Time Remaining:
0
minutes
Total Time:
0
minutes
Anonymous Login Code:
Save this code, which is required to update your response at a later time.
Page 1 of 1
Families for Life is free and fun for parents and children aged 2 – 11 to get fit, active and cook and eat healthy meals together.
1.
Parent's full name
*
2.
Parent's address
First Line of address
Post code
3.
Parent's contact telephone number(s)
Landline
Mobile
4.
Parent's email address
5.
Number of children who will be attending
*
6.
Age of each child:
Age in years
Child one
2-11
Child two
2-11
Child three
2-11
Child four
2-11
Child five
2-11
7.
Course title
*
4-week Family Kitchen early years programme (Zoom)
4-week Family Kitchen primary programme (Zoom)
Families for Life early years session (telephone)
Families for Life primary session (telephone)
8.
Do you consider yourself or your child attending the programme to have a disability?
Yes
No
9.
If yes, please describe any special arrangements we need to make for you or your child to attend the programme.
10.
Do you have a computer and access to the internet to use Zoom?
If no, and you would like to attend a zoom Family Kitchen programme, we might be able to set you up with equipment for the duration of the programme
Yes
No
11.
How did you hear about Families for Life / Family Kitchen?
The London Borough of Islington provides health and care services to adults, children and young people who are resident and/or in education in the London Borough of Islington. We will handle the information you have provided in line with the provisions of the Data Protection Act 2018. Any personal information will be held in confidence with only the necessary people able to see or use it.
More information about how we use your information is available at
https://www.islington.gov.uk/about-the-council/information-governance/data-protection/privacy-notice/peoples-directorate-privacy-notice/school-improvement-and-pupil-services-privacy-notice
For more information about data protection and privacy, please contact the Senior Information Manager on 020 7527 2000, email
contact@islington.gov.uk
or visit
http://www.islington.gov.uk/legal