Medway Youth Service

Session Booking Form

Medway Youth Service have put together a program of bookable activities for young people aged 11-19 (and up to 25 with additional needs). These projects are due to start from the 5th October. All sessions will be run in covid-compliant settings with participants expected to adhere to socal distancing, wash their hands and wear face coverings unless exempt.

Please complete the below form letting us know about what sessions are of interest. Once submitted, one of our team will be in contact to let you know further details.

Please note, due to limits on numbers, registration will not automatically mean a place is available. However, we will do our best to accomodate as many people as is safely possible.

Q1	Name(s) of young person / people

Q2	Age(s) of young person / people

Q3	Parent / guardian details
	Forename

	Surname

	Relationship to young person / people

	Contact number

	Emergency Contact

	Emergency Contact Number

	Email Address

Q5	What is the name(s) of the young person / people's school, sixth form / college / employer or training provider / home schooled / not in education?

Q6	Are there any other activities or ideas for sessions that might be of interest?

Q7	Please tell us any additonal information we may need to know to best support? (This should include information about any medical needs, allegies or disabilities, worries or concerns, likes dislikes etc.)

From time to time Medway Youth Service involves young people in projects that involve photography and filming, these materials are used for evidencing our work and sometimes for local publicity purposes. In order to comply with the General Data Protection Regulation (GDPR), the Council needs parental permission to photograph, film or to capture your written/verbal comments, and your permission to use any photographs or recordings of young people for these purposes.

Young people are always informed and consulted about any photography or filming and have the right to say no regardless of parental consent.

Permission is granted for a period of one year, after which the Council will remove your images/comments from its publications. You may request that your images are removed during this timeframe by contacting the Youth Service 01634 338247.

Please select the appropriate option to indicate if you are happy to give parental consent.

I do give consent for photographs, video or other recorded materials to be used by Medway Council Youth Service for evidence and local promotion purposes.

I do not give consent for photographs, video or other recorded materials to be used by Medway Council Youth Service for evidence and local promotion purposes.

We would like to keep in touch with you about future activities and opportunities offered by Medway Council Youth Service. If you would like to receive information about these activities, please indicate below.

I would like to receive information about future activities and opportunities offered by the Youth Service

I would not like to receive information about future activities and opportunities offered by the Youth Service

Thank you for completing this form.

Find out more about Medway Youth Service at https://www.medway.gov.uk/youth/

Medway Youth Service can be contacted by email at: youth.enquires@medway.gov.uk

We look after your personal information, please read our privacy statement to find out more at: www.medway.gov.uk/privacy

You will not recieve any communications from us using these details other than in relation with meeting our statutory duties and the administration of Youth Service activities unless otherwise stated.

Your data will be kept for ten years after your last contact with us and then destroyed automatically. If should wish to have your data removed at an earlier date, please contact us on youth.enquiries@medway.gov.uk