Independence Clubs​

(Please note Parent/Carer is required to complete this section for young people under 18 years old, and for adults lacking Mental Capacity.) I am applying to take part in Independence Project and Independence Clubs training programme and events. Independence Project and Independence Clubs produces a range of resources to demonstrate the difference our work is making. We like to share the experiences of real people who are using our services in our communications as it helps to illustrate what we do. Please let us know whether you give consent to Independence Project and Independence Clubs to use photographs, feedback, case studies etc.

You can choose to have your name published or remain anonymous (in which case, we will use an alias)

Independence Project and Independence Clubs has a duty of care to ensure that we have full information about the possible risks to the people we support, and/or any risks to others, so that everyone can participate and be supported safely, whatever their age. Someone who knows a person well (e.g. a parent, carer, teacher, tutor or key worker) needs to complete the following information as accurately and honestly as they can

Independence Project and Independence Clubs needs to maintain accurate and up-to-date records of those who use our services, in order to provide safe and effective support.

It is your responsibility to inform us in writing of any changes that occur after a Registration Form has been submitted.

We will then update the information we hold.

This will include any changes to:

• Your address
• Home phone number
• Your mobile phone number
• email address
• Parent/carer contact details
• Emergency contact names or phone numbers
• Support needs
• Health issues – allergies, asthma, epilepsy, medication etc.
• Behaviour or other Risk Assessment issues