Sign up form - Kisharon Langdon

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Participant's details

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Please give details of the difficulties/disabilities that the participant experiences.*

Do you feel 1-1 or shared support is needed?*

1-1 support

Shared support

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Please give details if participant has any allergies

Please give details if we need to know about any medication participant takes

Do you consent to participant/s being photographed/videoed for Kisharon Langdon marketing including online (as well as social media) and press purposes?*

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What activities/hobbies does participant enjoy?

Any other comments

Parent/Guardian details

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