Registration forms

1. Registration is needed before the first session.

Your details, an emergency contact, health and collection, and your agreement. One form for each child.

2. Get to know your child is optional.

What your child enjoys, how they communicate and what helps them feel confident. The more I know, the better I can support your child from the very first session. Fill it in now, later, or not at all.

Child's full nameDate of birthSchool yearOptional. It helps me group children sensibly.

Which class would you like?

Group session or one-to-one?Optional.

Group sessionOne-to-oneNot sure yet

Your full nameRelationship to the childEmailPhoneHome addressOptional.PostcodeOptional.

Full nameRelationship to the childPhone

Please choose one

No known medical conditions or relevant concernsRelevant medical condition, allergy, injury or activity restriction (details below)I would prefer to discuss this privately before the first session

Support needs, communication preferences or sensory considerationsOptional. Any adjustments that may help your child take part. There is more room for this in the Get to know your child form.GP surgeryOptional. Name and town is enough.

Who will collect your child?

Parent/carer will collectAn authorised adult will collectOther arrangement, to be agreed with Vanessa

Collection arrangements need to be confirmed with me before the session. Please let me know if anything changes.

Kept privately and shared with you

Used by me to plan and look back on sessions, and sent only to your child's own parents or carers. Never posted anywhere.

YesNo

On the Vitaliftness website

For example on the gallery page.

YesNo

On Instagram and Facebook

Posts on the Vitaliftness Children accounts.

YesNo

You can change or withdraw consent at any time by emailing vitaliftness@hotmail.com.

The information I have given is accurate to the best of my knowledge, and I will tell Vitaliftness Children about any relevant changes.I understand that taking part is subject to Vitaliftness Children's safety procedures and class arrangements, including first aid being given if needed.I have read the privacy notice explaining how my family's information is used and stored.Type your full name as your signatureDate

Child's full nameName they like to be calledYour nameYour email

Who does your child live with?Languages used at home, or languages your child understandsAny recent changes or circumstances that may affect your child's wellbeing or taking part?Anything you would like me to understand about your family's routines, culture or preferences?

What does your child enjoy doing?What are their strengths, talents or best qualities?What helps your child feel confident, included and motivated?Are there activities, sounds, textures, places or situations your child dislikes or finds hard?

How does your child usually communicate?For example speech, gestures, signs, pictures or a communication device.How does your child show they need help, a break, or want to stop?What helps your child understand instructions?For example short phrases, demonstrations, visuals or a little extra time.Are there any communication or social situations where your child may like extra support?

What would you like your child to gain from the sessions?For example confidence, coordination, balance, friendships or simply enjoyment.How does your child usually respond to new activities or changes in routine?What kind of support works best?For example a demonstration, one step at a time, a visual plan of the session, or a choice of activities.Are there any sensory, attention, mobility, coordination or accessibility needs I should think about?What tends to help if your child becomes overwhelmed, anxious, frustrated or loses interest?

Is your child supported by any professionals or services whose advice is relevant to activities?For example a school SENCO, occupational therapist, physiotherapist or speech and language therapist.Are there strategies that already work well at home, at school or in other activities?Anything else you would like me to know about your child?

Priority 1Priority 2Priority 3How will you know the sessions are helping your child?

I am happy for Vitaliftness Children to keep what I have shared here and use it only to plan and run safe, positive sessions for my child, as explained in the privacy notice. I can ask for it to be corrected or deleted at any time.

Your child

You, the parent or carer

Emergency contact

Health and additional needs

Collection

Photos and videos

Agreement and signature

Your child

Family and everyday life

Strengths, interests and motivation

Communication and getting along with others

Learning, movement and taking part

Other support around your child

Your priorities

Your consent