Mental Fitness Programme for Young Adult Carers - expression of interest. to be completed by a Parent or Guardian of a Young Adult Carer (if under 18) or by Young Adult Carer (if over 18) Consent and Expression of interest form for Mental Fitness Programme to be completed by the parent or guardian of the young carer if under 18 or by the young adult carer if over 18. "*" indicates required fields Step 1 of 3 - Young Carer Details 33% Barnet Young Carers is offering a mental fitness programme and individual coaching to young adult carersPlease complete the questions below to apply for this course. Name of Young Adult Carer* First Last Young Adult Carer's Date of Birth* DD slash MM slash YYYY School/College/University of Young Adult Carer*-Please select from options-AkivaAll Saints' CE N20All Saints' CE NW2Alma PrimaryArcher Academy (The)Ark Pioneer AcademyAshmoleBarnet and Southgate College (Further Education College)BarnfieldBeis YaakovBeit Shvidler PrimaryBell LaneBishop Douglass CatholicBlessed Dominic CatholicBroadfieldsBrookhill (N)Brookland InfantBrookland JuniorBrunswick ParkChalgroveChilds HillChrist Church CEChrist's College FinchleyChurch HillClaremontColindaleCompton (The)Coppetts WoodCopthallCourtlandCromer RoadDanegroveDeansbrook InfantDeansbrook JuniorDollis PrimaryEast BarnetEdgware PrimaryEtz ChaimFairwayFinchley Catholic HighFirst Rung Training ProviderFouldsFriern BarnetFrith ManorGarden Suburb InfantGarden Suburb JuniorGoldbeatersGrasvenor Avenue InfantHampden Way (N)Hasmonean High SchoolHasmonean PrimaryHendonHenrietta Barnett (The)HollickwoodHolly ParkHoly Trinity CEIndependent Jewish DayJCoSSLivingstoneLondon AcademyManorsideMapledownMartin PrimaryMathilda Marks KennedyMenorah FoundationMenorah High School For GirlsMenorah PrimaryMill Hill County HighMillbrook Park SchoolMonken Hadley CEMonkfrithMoss Hall InfantMoss Hall JuniorMoss Hall NurseryNorthsideNorthwayOak LodgeOakleighOsidgeOur Lady of Lourdes CatholicPardes HouseParkfieldQueen Elizabeth's (Boys)Queen Elizabeth's GirlsQueenswell Infant & NurseryQueenswell JuniorRimon Jewish PrimaryRosh PinahSacks Morasha Jewish Primary SchoolSacred Heart CatholicShalom Noam Primary SchoolSt Agnes' CatholicSt Andrew the Apostle Greek Orthodox SchoolSt Andrew's CESt Catherine's CatholicSt James' Catholic HighSt John's CE N11St John's CE N20St Joseph's Catholic PrimarySt Margaret's NurserySt Mary's & St John's CESt Mary's CE EN4St Mary's CE N3St Michael's Catholic GrammarSt Paul's CE N11St Paul's CE NW7St Theresa's CatholicSt Vincent's CatholicSummersideSunnyfieldsThe Annunciation Catholic InfantThe Annunciation Catholic JuniorThe HydeThe OrionThe Totteridge AcademyTrent CETudorUnderhillWatling Park Free SchoolWessex GardensWhitefieldWhitings HillWoodcroftWoodhouse CollegeWoodridgeWren AcademyDo Not KnowNot ListedIf not listed, please enter name here* Please enter your postcode below and click on the Lookup Postcode button Address of Young Adult Carer* City* Postcode* Preferred Pronouns Young Adult Carer's Religion*-Please select from options-JewishChristianMuslimSikhBuddhistAgnosticHinduAtheistOtherDo Not Wish To DiscloseYoung Adult Carer's Ethnicity*-Please select from options-Asian Or Asian British - Any Other AsianAsian Or Asian British - BangladeshiAsian Or Asian British - ChineseAsian Or Asian British - IndianAsian Or Asian British - PakistaniBlack Or Black British - AfricanBlack Or Black British - CaribbeanBlack Or Black British - Other Black BackgroundMixed - Other Mixed BackgroundMixed - White And AsianMixed - White And Black AfricanMixed - White And Black CaribbeanWhite - Any Other White BackgroundWhite - BritishWhite - IrishWhite - JewishAny Other Ethnic GroupUnknown Parent or Guardian Information (please select as appropriate) Both Parents Single Mother Single Father Foster Carer Name of Parent/Guardian #1* First Last Parent/Guardian #1's Relationship to Young Carer* Preferred Language of Parent/Guardian #1* Parent/Guardian #1's Mobile No.*Parent/Guardian #1's Email* Name of Parent/Guardian #2* First Last Parent/Guardian #2's Relationship to Young Carer* Preferred Language of Parent/Guardian #2* Parent/Guardian #2's Mobile No.Parent/Guardian #2's Email Do you live at the same address as the young adult carer?* Yes No Please enter your postcode below and click on the Lookup Postcode button Address of Parent/Guardian* City* Postcode* Barnet Young Carers Mental Fitness Programme - By ticking and submitting below, I give consent to -* For my child(ren) to participate in BYC mental fitness programme I am over 18 and do not need consent of my parent/guardian Future Communication - By ticking and submitting below, I give consent to -* Consent to receive communication via phone calls Consent to receive communication via email Consent to receive communication via text Consent to receive communication via post Consent to receive communication via social media Consent for Young Carer to use Barnet Carers Centre Drop In service Select AllNameThis field is for validation purposes and should be left unchanged.
