Young Person Name (required)

Date of Birth (required)

Your Name (required)

Relationship to Child (required)

Address and Postcode (required)

Phone Number (required)

Your Email (required)

Are there any specific concerns you would like the staff to be aware of so that we can best support your child during this project?

Do you consent to your child attending the YWFA music video project?
YesNo

You will need to participate in a short video call with the young person present prior to attending an online session to verify consent. [textarea ]

Are you happy for your child to appear in publicity and promotional materials for the Young Women’s Film Academy? [textarea ]
YesNo

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