Register interest in our October half-term programme Home > Register interest in our October half-term programme About the young person Full name * Date of birth * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Any allergies? * Any other medical issues? * Next of kin 1 Full name * Emergency contact number * Next of kin 2 Full name * Emergency contact number * Give consent for media * I give my permission for LNK to photograph and record this young person attending the summer programme for use in promotional material for our summer programme and LNK mentoring, as well as for our social media and bids and grants to help us evidence the work we have done, secure funding, and continue our work.
