Pentland Creative Hub – February 2025

Participant's Name *

First

Last

Known as

Gender

Male
Female
Non-binary

Date Of Birth *

Name of school and year

Parent/carer Contact Email *

Parent/carer contact Phone Number *

Emergency Contact Number *

Relationship to Participant *

Parent/Guardian Name *

First

Last

Participant's Address

Postcode *

Medical Conditions *

Does the participant have any medical conditions requiring special medical treatment including medication?

If 'yes' please provide details.

Additional Support Requirements *

Does the participant have any additional support requirements?

If 'yes' please provide details.

Dietary Requirements *

If food/snacks are available at the project does the participant have any dietary requirements or allergies etc?

If 'yes' please provide details.

Which days would the participant be applying to attend Pentland February Creative Hub *

Monday 10th February
Tuesday 11th February

Please acknowledge. *

I agree

I will inform Pentland Creative Hub if there is any change to any of the participant’s information provided on this form. I agree to their participation in the February Creative Hub holiday Project and receiving any emergency detail, medical or surgical treatment including anaesthetic or blood transfusion as considered necessary by the medical authorities present. I acknowledge the need for responsible behaviour on their part and accept that leaders will make decisions based on the safety of the group as a whole. They have the right to exclude young people if their behaviour becomes unacceptable.

Please acknowledge *

I agree
I do not agree

During the course of this project young people may be photographed and/or filmed. Images and video created during the course of the project may be shared via social media and websites. Please indicate whether or not you agree to images of your child being used for publicity purposes.

Any other comments or anything we should know about?