Annual Consent Forms

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Notice to Parents/Guardians: Young Carers Information

We kindly request that you only submit details of young carers who are already registered with and receiving support from Carers Resource. If you would like to inform us of any additional young carers in need of support who are not yet registered, please contact the Carers Resource staff member currently supporting your young carer. Alternatively, you can make a support request via our website here or by calling our dedicated telephone line 0808 501 5939.

How many Young Carers would you like to tell us about?

Which young carer team are/have you receiving support from?

Parent/Guardian

First Name

Last Name

Date of birth

Phone Number

Young Carer 1

First Name

Last Name

Date of birth

Street Address

Street Address Line 2

City

Postcode

Phone Number

Mobile Number

School/College Attended Young Carer 1

Please search for a school/college in the box below

Organisation Name

Type of Organisation

Education - Primary

Education - Secondary

Education - Further

Education - Special needs

Postcode

Key contact at School/College Young Carer 1

If you don’t know or are not sure, please leave this blank.

First Name

Last Name

Job Title

Emergency Contact Young Carer 1

In an emergency we will always attempt to contact you, the parent or guardian, first. Please supply details of a second person that we can contact if we are unable to get hold of you. By providing their details, you confirm that you have their permission to share this information with us

Consent to share details of emergency contact

Yes

First Name

Last Name

Phone Number

Mobile Number

Young Carer 2

First Name

Last Name

Date of birth

Street Address

Street Address Line 2

City

Postcode

Phone Number

Mobile Number

School/College Attended Young Carer 2

Please search for a school/college in the box below

Organisation Name

Type of Organisation

Education - Primary

Education - Secondary

Education - Further

Education - Special needs

Postcode

Key contact at School/College Young Carer 2

If you don’t know or are not sure, please leave this blank.

First Name

Last Name

Job Title

Emergency Contact Young Carer 2

Consent to share details of emergency contact

Yes

First Name

Last Name

Phone Number

Mobile Number

Consent

I agree

If yes, please give the end date

Consent

I agree

If yes, please give the end date

Relationship to Parent/Guardian Start Date

Start Date 7

Contact Method

Start Date 2

Start Date 6

Start Date 3

Start Date 6

Activity Date

Start Date 2

Contact Method

Start Date 2

Start Date 6

Case

Case Start Date

Case 2

Case Start Date

Contact 10

Annual Consent Forms

Start Here

Notice to Parents/Guardians: Young Carers Information

Parent/Guardian

Young Carer 1

School/College Attended Young Carer 1

Key contact at School/College Young Carer 1

If you don’t know or are not sure, please leave this blank.

Emergency Contact Young Carer 1

Young Carer 1 Annual Consent

Health Information

Medication

Additional Medical Information

Media Consent

Consent

Young Carer 2

School/College Attended Young Carer 2

Key contact at School/College Young Carer 2

If you don’t know or are not sure, please leave this blank.

Emergency Contact Young Carer 2

Young Carer 2 Annual Consent

Health Information

Medication

Additional Medical Information

Media Consent

Consent