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Young Carers - Professional Support Requests (External)
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Activity 2
Privacy Notice
Please confirm the following:
I have obtained express consent from the parent/guardian of the young carer(s) being referred to provide all of the information required and request support from Carers Resource. Before you proceed, we would like to draw your attention to our Privacy Notice. Your privacy and data protection are of utmost importance to us, and we want to ensure that you are fully informed about how we collect, use and protect your personal information. Please take a moment to review our privacy notice.
Privacy Policy
Yes
No
How was consent obtained
- Please select an option -
Phone
In Person
Initial Information
Which district does the young carer(s) reside in?
- Please select an option -
Bradford
Craven
Harrogate
Selby
How many young carers do you wish to refer?
0
1
2
How many indviduals does the young carer(s) support?
0
1
2
Professional
Professional Referrers Details
First Name
Last Name
Job Title
Phone Type
Phone
Mobile
Pager
Phone Number
Phone Extension
Phone 2 Type
Phone
Mobile
Pager
Phone Number 2
Email
Professionals Employer
Referring Organisation
Please search for an organistion below
Organisation Name
Type of Organisation
Education - Primary
Education - Secondary
Education - All-through
Education - Further
Education - Special needs
Education - Other
Statutory Services - Council
Statutory Services - Police
Statutory Services - Fire
Health - Primary Care
Health - Secondary Care
Voluntary Sector
Street Address
Street Address Line 2
Street Address Line 3
City
Postcode
Young Carers Details
Young Carers Details
First Name
Last Name
Street Address
Street Address Line 2
Street Address Line 3
City
Postcode
Parents Phone Number
Parents Phone Number 2
Parents Email
Further Demographics
Date of Birth
Gender
- Please select an option -
Prefer not to say
Female
Male
Other
Transgender
Non-binary
Is the gender the young carer identifies with the same as their sex registered at birth?
- Please select an option -
Yes
No, please write gender below
Prefer not to say
Not provided
Ethnicity
- Please select an option -
Afghani
Arab
Asian / British Asian:Bangladeshi
Asian / British Asian: Indian
Asian / British Asian: Pakistani
Black / Black British: African
Black / Black British: Caribbean
Chinese / British Chinese
Eritrean
Gypsy
Irish Traveller
Kashmiri
Kurdish
Mixed White and Asian
Mixed White and Black African
Mixed White and Black Caribbean
Not Provided
Other: White
Other Asian Background
Other Black Background
Other Ethnic Group
Other Mixed Background
Other White Background
Prefer not to say
Rohingya
Roma
Vietnamese
White Albanian
White and Asian
White British
White Bulgarian
White Croation
White Czech
White East European
White English
White Estonian
White Hungarian
White Irish
White Latvian
White Lithuanian
White Northern Irish
White Polish
White Romanian
White Scottsh
White Slovakian
White Welsh
Sexuality
- Please select an option -
Bisexual/pansexual
Gay
Heterosexual
Lesbian
Not provided
Other sexual orientation (please state)
Prefer not to say
Too young/undecided
Religion
- Please select an option -
Agnostic
Anglican (Church in Wales)
Anglican (Church of England)
Anglican (Church of Ireland)
Anglican (Church of Scotland)
Atheist
Baptist
Buddhist
Catholic (Orthodox)
Catholic (Roman)
Christian
Hindu
Humanist
Jehovah's Witness
Jewish
Methodist
Muslim
Non-confirmist
Non-religious
Not Disclosed
Not Known
Other
Pentecostal
Prefer not to say
Presbyterian
Quaker
Rastafarian
Salvationist (Salvation Army)
Sikh
Unitarian
Does the young carers consider themselves to have a disability?
- Please select an option -
No
Not provided
Prefer not to say
Registered Disabled
Yes (Please provide more details)
Is the young carers disability substantial and/or long term?
Substantial
Long-term
Details of the young carers disability
Country of Origin
- Please select an option -
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas (The)
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Republic of the
Congo, The DR of
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dijbouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia (The)
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Ireland
North Macedonia
Norway
Not known
Oman
Other, please state
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Phillippines
Poland
Portugal
Prefer not to say
Qatar
Republic of Ireland
Romania
Russia
Rwanda
Saint Lucia
Saints Kitts and Nevis
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuala
Vietnam
Wales
Yemen
Zambia
Zimbabwe
Young Carer 1 West Yorkshire Schools
West Yorkshire Schools
Please select a school below
- Choose existing -
Addingham Primary School :: LS29 0NR
Al Mumin Primary and Secondary School :: Bradford :: BD8 7DA
All Saints CofE Primary School (Bradford) :: BD5 0NG
All Saints CofE Primary School (IIkley) :: IIkley :: LS29 9BE
Appleton Academy :: BD12 8AL
Ashlands Primary School :: LS29 8JY
Atlas Community Primary School :: Bradford :: BD8 8DL
Baildon Church of England Primary School :: Shipley :: BD17 7LY
Baildon Glen Primary School :: Shipley :: BD17 7LY
Bankfoot Primary School :: Bradford :: BD5 9NR
Barkerend Primary Leadership Academy :: Bradford :: BD3 0QT
Beckfoot Allerton Primary School and Nursery :: Bradford :: BD15 7HB
Beckfoot Heaton Primary :: Bradford :: BD9 6LL
Beckfoot Nessfield :: Keighley :: BD22 6NP
Beckfoot Oakbank :: Keighley :: BD22 7DU
Beckfoot Phoenix :: Keighley :: BD22 6HZ
Beckfoot Priestthorpe Primary School & Nursery :: Bingley :: BD16 4JS
Beckfoot School :: BD16 1EE
Beckfoot Thornton :: Bradford :: BD13 3BH
Beckfoot Upper Heaton :: Bradford :: BD9 6AL
Beechcliffe Special School :: Keighley :: BD10 0TD - Thackley site
Belle Vue Girls Academy :: Bradford :: BD9 6NA
Ben Rhydding Primary School :: Ilkley :: LS29 8QH
Bingley Grammar School :: Bradford :: BD16 2RS
Blakehill Primary School :: Bradford :: BD10 8QN
Bowling Park Primary School :: Bradford :: BD5 8BT
Brackenhill Primary School :: Bradford :: BD7 4HA
Bradford Academy :: Bradford :: BD4 7QJ
Bradford Alternative Provision Academy :: Shipley :: BD18 3JE
Bradford Beacon School :: Bradford :: BD5 8LJ
Bradford Children and Families :: Keighley :: BD22 6JB
Bradford Christian School :: Bradford :: BD2 1BT
Bradford College 14-16 Provision :: Bradford :: BD1 0DX
Bradford Educational Psychology Team :: Bradford :: BD1 1NN
Bradford Forster Academy :: Bradford :: BD4 8RG
Bradford Girls Grammar School :: Bradford :: BD9 6RB
Bradford Grammar School :: Bradford :: BD9 4JP
Bradleys Both Community Primary School :: Keighley :: BD20 9EF
Broadbeck Learning Centre :: Bradford :: BD6 2LE
Bronte Girls Academy :: Bradford :: BD4 7EB
Bronte Girls' Academy :: Bradford :: BD4 7EB
Burley & Woodhead CE Primary School :: Burley in Wharfedale :: LS29 7RQ
Burley Oaks Primary School :: Ilkley :: LS29 7EJ
Buttershaw Business & Enterprise College :: BD6 3PX :: Bradford :: BD6 3PX
Buttershaw Business & Enterprise College Academy :: Bradford :: BD6 3PX
Buttershaw Business & Enterprise College Academy BD6 3PX :: Bradford :: BD6 3PX
Buttershaw Business & Enterprise College BD63PX :: Bradford :: BD6 3PX
Byron Primary School :: Bradford :: BD3 0AB
Carlton Bolling :: Bradford :: BD3 0DU
Carlton Keighley :: Keighley :: BD20 6EB
Carlton Mills :: Bradford :: BD9 5AT
Carrwood Primary School :: Bradford :: BD4 0EQ
Cavendish Primary School :: Bradford :: BD2 2DU
Chellow Heights School :: Bradford :: BD9 6RY
Chellow Heights Special School :: Bradford :: BD9 6AL
Christ Church Church of England Academy :: Shipley :: BD18 2NT
Clayton St John CofE Primary School :: Bradford :: BD14 6DD
Clayton Village Primary School :: Bradford :: BD14 6AD
Co-op Academy Delius :: Bradford :: BD3 8QX
Co-op Academy Grange :: Bradford :: BD5 9ET
Co-op Academy Parkland :: Bradford :: BD10 9BG
Co-op Academy Penny Oaks :: Bradford :: BD3 9ND
Co-op Academy Princeville :: Bradford :: BD7 2AH
Co-op Academy Southfield :: Bradford :: BD5 9ET
Co-Op Beckfield Primary School :: Bradford :: BD4 8ER
Cononley Primary School :: Keighley :: BD20 8NA
Copthorne Primary School :: Bradford :: BD7 3AY
Cottingley Village Primary School :: Bd16 1sy
Cowling Community Primary School :: Keighley :: BD22 0DF
Crossflatts Primary School :: Bingley :: BD16 2EP
Crossley Hall Primary School :: Bradford :: BD8 0HJ
Crystal Gardens Primary School :: Bradford :: BD5 7PE
Cullingworth Village Primary School :: Bradford :: BD13 5DA
Darul Uloom Dawatul Imaan :: Bradford :: BD4 9PH
Denholme Primary :: Bradford :: BD13 4AY
Denholme primary school :: BD13 4FD
Dixons Allerton Academy :: Bradford :: Bd9 6aj
Dixons City Academy :: Bradford :: BD5 7RR
Dixons Cottingley Academy :: Bingley :: BD16 1TZ
Dixons Kings Academy :: Bradford :: BD7 2AN
Dixons Manningham Academy :: Bradford :: BD8 8HY
Dixons Marchbank Primary :: Bradford :: BD3 8QQ
Dixons McMillan Academy :: Bradford :: BD5 0BE
Dixons Music Primary :: BD5 0BE
Dixons Sixth Form Bradford :: Bradford :: BD5 7JR
Dixons Trinity Academy :: Bradford :: BD5 0BE
East Morton CofE Primary School :: Keighley :: BD20 5SE
Eastburn Primary School :: Keighley :: BD20 8UX
Eastwood Community School :: Keighley :: BD21 3JL
Eden Boys Leadership Academy Bradford :: Bradford :: BD8 9AR
Eden Springs Girls Secondary :: Bradford :: BD5 7PE
Eldwick Primary School :: Bingley :: BD16 3LE
Eternal Light :: Bradford :: BD5 9DH
Farfield Primary and Nursery School :: BD6 2BS
Farnham Primary School :: Bradford :: BD7 3HU
Fearnville Primary School :: Bradford :: BD4 8DX
Feversham Girls Secondary Academy :: Bradford :: BD3 0LT
Foxhill Primary School :: Bradford :: BD13 1LN
Frizinghall Primary School :: Bradford :: BD9 4HP
Ghyll Royd School and Pre-School :: Ilkley :: LS29 7HW
Girlington Primary School :: Bradford :: BD8 9NR
Glusburn Community Primary School :: Near Keighley :: BD20 8PJ
Green Lane Primary School :: Bradford :: BD8 8HT
Greengates Primary Academy :: BD10 9AX
Grove House Primary School :: Bradford :: BD2 4ED
Guiseley School :: Leeds :: LS20 8DT
Hanson Academy :: Bradford :: BD2 1JP
Harden Primary School :: Bingley :: BD16 1LJ
Haworth Primary School :: Keighley :: BD22 8DW
Hazelbeck Special School :: Bingley :: BD16 1EE
Heaton St Barnabas CofE Aided Primary School :: Bradford :: BD9 4DA
High Crags Primary Leadership Academy :: Shipley :: BD18 2ES
High Park School :: Bradford :: BD9 6RY
Hill Top CofE Primary School :: Bradford :: BD12 0TL
Hollingwood Primary School :: Bradford :: BD7 4BE
Holybrook Primary School :: Bradford :: BD10 0HL
Holycroft Primary School :: Keighley :: BD21 1JF
Home Farm Primary School :: Bradford :: BD6 3NR
Horton Grange Primary School :: Bradford :: BD7 2EU
Horton Park Primary School :: Bradford :: BD5 9LQ
Hoyle Court Primary School :: Shipley :: BD17 6DN
Idle CofE Primary School :: Bradford :: BD10 8LU
Ilkley Grammar School :: Ilkley :: LS29 8TR
Immanuel College :: Bradford :: BD10 9AQ
Ingrow Primary School :: Keighley :: BD21 1BW
Ingrow Primary school :: Keighley :: BD21 1BW
Iqra Primary Academy :: Bradford :: BD8 8DA
Islamic Tarbiyyah Preparatory School :: Bradford :: BD8 8AW
Jaamiatul Imaam Muhammad Zakaria :: Bradford :: BD14 6JX
Keelham Primary School :: Bradford :: BD13 4HH
Keighley St Andrews CofE Primary School and Nursery :: Keighley :: BD21 2ND
Kildwick Church of England Voluntary Controlled Primary School :: Keighley :: BD20 9BH
Killinghall Church of England Primary School :: Bradford :: BD3 7JF
Knowleswood Primary School :: Bradford :: BD4 9AE
Lady Lane Park School & Nursery :: Bingley :: BD16 4AP
Lady Royd Primary School :: Bradford :: BD9 6RB
Laisterdyke Leadership Academy :: BRADFORD :: BD3 8HE
Lapage Primary School and Nursery :: Bradford :: BD3 8QX
Laycock primary School :: Keighley :: BD22 0PP
Lees Primary School :: Keighley :: BD22 9DL
Ley Top Primary School :: Bradford :: BD15 7PQ
Lidget Green Primary School :: Bradford :: BD7 2QN
Lift Feversham :: Bradford :: BD3 9EG
Lilycroft Primary School :: Bradford :: BD9 5AD
Long Lee Primary School :: Keighley :: BD21 5DF
Lothersdale Primary School :: Keighley :: BD20 8HB
Low Ash Primary School :: Shipley :: BD18 1AA
Low Moor CofE Primary School :: Bradford :: BD12 0NN
Lower Fields Primary Academy :: Bradford :: BD4 8RG
Margaret McMillan Primary School :: Bradford :: BD9 5DF
Marshfield Primary :: Bradford :: BD5 9DS
Meadow Bank Community School :: Bradford :: BD4 8DX
Menston Primary School :: Ilkley :: LS29 6NY
Merlin Top Primary Academy :: Keighley :: BD22 6HZ
Miriam Lord Primary School :: Bradford :: BD8 8RG
Moorfield School & Nursery :: Ilkley :: LS29 8RL
Myrtle Park Primary :: Bingley :: BD16 1HB
New College Bradford :: Bradford :: BD5 0DX
Newby Primary School :: Bradford :: BD5 7DQ
Newhall Park Primary School :: Bradford :: BD4 6AF
Oakworth Primary School :: Keighley :: BD22 7HX
Oasis Academy Lister Park :: Bradford :: BD8 7ND
Oastlers :: Bradford :: Bradford
Oldfield Primary School :: Keighley :: BD22 0HZ
One In A Million Free School :: Bradford :: BD8 7DX
Our Lady and St Brendans Catholic Primary School, A Voluntary Academy :: Bradford :: BD10 0QA
Our Lady of Victories Catholic School :: Keighley :: BD22 6JP
Oxenhope CofE Primary School :: Keighley :: BD22 9LH
Park Aspire Alternative Provision Academy :: Bradford :: BD5 8DB
Parkside School :: Bradford :: BD13 5AD
Parkwood Primary School :: Keighley :: BD21 4QH
Peel Park Primary School and Nursery :: Bradford :: BD2 4PR
Poplars Farm Primary School :: Bradford :: BD2 1LQ
Prism Independent School :: Bradford :: BD8 9ES
Rainbow Primary Leadership Academy :: Bradford :: BD5 0HD
Reevy Hill Primary School :: Bradford :: BD6 3ST
Riddlesden St Marys CofE Primary School :: Keighley :: BD20 5AB
Russell Hall Primary School :: Bradford :: BD13 2AW
Ryecroft Primary Academy :: Bradford :: BD4 0LS
Saltaire Primary School :: Shipley :: BD18 4NR
Sandal Primary School :: Bradford :: BD17 5DH
Sandy Lane Primary School :: Bradford :: BD15 9JU
Selby Community Primary School :: yo8 4dl
Shibden Head Primary Academy :: Bradford :: BD13 2ND
Shibden Head Primary Academy :: Bradford :: BD13 2ND
Shipley CofE Primary School :: Shipley :: BD18 2PT
Shipley College :: BD18 3JW
Shirley Manor Primary School :: Bradford :: BD12 8SA
Silsden Primary School :: Keighley :: BD20 0JJ
South Craven School :: Keighley :: BD20 7RL
Southmere Primary Academy :: Bradford :: BD7 3NR
St Annes Catholic Primary School :: Keighley :: BD21 3AD
St Anthonys Catholic Primary School, A Voluntary Academy (Clayton) :: Bradford :: BD14 6HW
St Anthonys Catholic Primary School, A Voluntary Academy (Shipley) :: Shipley :: BD18 1HD
St Bedes and St Josephs Catholic College, A Voluntary Academy :: Bradford :: BD9 4BQ
St Columbas Catholic Primary School, a Voluntary Academy :: Bradford :: BD4 9PY
St Cuthbert and the First Martyrs Catholic Primary School, A Voluntary Academy :: Bradford :: BD9 5AT
St Francis Catholic Primary School, A Voluntary Academy :: Bradford :: BD2 4ES
St John the Evangelist Catholic Primary School :: Bradford :: BD6 3DQ
St Johns CofE Primary School :: Bradford :: BD4 6JF
St Josephs Catholic Primary School (Keighley) :: Keighley :: BD21 1AR
St Josephs Catholic Primary School, A Voluntary Academy (Bingley) :: Bingley :: BD16 4HQ
St Josephs Catholic Primary School, A Voluntary Academy (Bradford) :: Bradford :: BD5 0RB
St Lukes CofE Primary School :: Bradford :: BD2 3NS
St Mary's and St Peter's Catholic Primary School :: Bradford :: BD3 9ND
St Matthews Catholic Primary School, a Voluntary Academy :: Bradford :: BD15 7NE
St Matthews CofE Primary School and Nursery :: Bradford :: BD5 8JQ
St Oswalds Church of England Primary Academy :: Bradford :: BD7 3JT
St Pauls CofE Primary School :: Bradford :: BD6 1ST
St Philips CofE Primary School :: Bradford :: BD8 9JL
St Stephens CofE Primary School (Bradford) :: Bradford :: BD5 7HU
St Walburga's Catholic Primary School :: Shipley :: BD18 4RL
St Walburgas Catholic Primary School, A Voluntary Academy :: Shipley :: BD18 4RL
St Williams Catholic Primary School, A Voluntary Academy :: Bradford :: BD8 9RG
St Winefrides Catholic Primary School, A Voluntary Academy :: Bradford :: BD6 1SR
St. Clares Catholic Primary School, A Voluntary Academy :: Bradford :: BD2 3JD
Stanbury Village School :: Keighley :: BD22 0HA
Steeton Primary School :: Keighley :: BD20 6NN
Stocks Lane Primary School :: Bradford :: BD13 2RH
Sutton CofE Primary and Nursery School :: Keighley :: BD20 7JS
Sutton in Craven Cp primary school :: Keighley :: BD20 7es
Sutton-in-Craven Community Primary School :: Keighley :: BD20 7ES
Swain House Primary School :: Bradford :: BD2 1JL
Thackley Primary School :: Bradford :: BD10 8PJ
The Academy At St. James :: BD15 7YD
The Academy At St. James :: Bradford :: BD15 7YD
The Boyle and Petyt Primary School :: Skipton :: BD23 6HE
The Fountain School :: Bradford :: BD5 8BP
The Holy Family Catholic School, a Voluntary Academy :: Keighley :: BD20 6LH
The Home Study Project Co Pakistan Community and Neighbourhood Assoc :: Bradford :: BD8 8EJ
The Sacred Heart Catholic Primary School :: Ilkley :: LS29 8NL
Thornbury Primary Leadership Academy :: BD3 7AU
Thornton Primary School :: Bradford :: BD13 3NN
Thorpe Primary :: Bradford :: BD10 9PY
Thorpe Willoughby Primary School :: Bradford :: BD10 9PY
Titus Salt School :: Shipley :: BD17 5RH
Tong Leadership Academy :: Bradford :: BD4 6NR
Training and Skills Centre :: Bradford :: BD3 9BE
Trinity Academy Bradford :: Bradford :: BD13 2AS
Trinity All Saints CofE VA Primary School :: Bingley :: BD16 2PP
University of Bradford :: Bradford :: BD7 1DP
Upper Wharfedale School :: Skipton :: BD23 5BS
Victoria Primary School :: Keighley :: BD21 2RD
Wellington Primary School :: Bradford :: BD2 3DE
Westbourne Primary School :: Bradford :: BD8 7PL
Westminster Church of England Primary Academy :: Bradford :: BD3 0HW
Westville House School :: Ilkley :: LS29 0DQ
Whetley Academy Bradford :: Bradford :: BD8 9HZ
Wibsey Primary School :: Bradford :: BD6 1RL
Wilsden Primary School :: Bradford :: BD15 0AE
Woodlands Church of England Primary Academy :: Bradford :: BD12 7EZ
Woodside Academy :: Bradford :: BD6 2PG
Worth Valley Primary School :: Bradford :: BD22 7AX
Worthinghead Primary School :: BD12 9DH
Wycliffe CofE Primary School :: Shipley :: BD18 3HZ
Young Carer 1 North Yorkshire Schools
North Yorkshire Schools
Please select a school below
- Choose existing -
Admiral Long Church of England Primary School :: Harrogate :: HG3 3EJ
All Saints Church of England School :: Harrogate :: HG3 1HD
Ashville College :: Harrogate :: HG2 9JP
Askwith Primary School :: Otley :: LS21 2HX
Aspin Park Academy :: Knaresborough :: HG5 8LQ
Austwick Church of England VA Primary School :: Lancashire :: LA2 8BN
Barkston Ash Catholic Primary School, a Voluntary Academy :: Tadcaster :: LS24 9PS
Barlby Bridge Community Primary School :: York :: YO8 5AA
Barlby Community Primary School :: Selby :: YO8 5JQ
Barlby High School :: Selby :: YO8 5JP
Barlow Church of England Primary School :: Selby :: YO8 8ES
Barwic Parade Community Primary School :: Selby :: YO8 8DJ
Beckwithshaw Community Primary School :: Harrogate :: HG3 1QW
Belmont Grosvenor School :: Harrogate :: HG3 2JG
Bentham Community Primary School :: Lancashire :: LA2 7BP
Birstwith Church of England Primary School :: Harrogate :: HG3 2NJ
Bishop Monkton Church of England Primary School :: Harrogate :: HG3 3QW
Boroughbridge High School :: Boroughbridge :: YO51 9JX
Boroughbridge Primary School :: York :: YO51 9EB
Brackenfield School :: Harrogate :: HG1 2HE
Bradleys Both Community Primary School :: Keighley :: BD20 9EF
Brayton Academy :: Selby :: YO8 9QS
Brayton Church of England Primary School :: Selby :: YO8 9DZ
Brooklands School :: Skipton :: BD23 2DB
Brotherton and Byram Community Primary Academy :: Knottingley :: WF11 9HQ
Burnsall Voluntary Aided Primary School :: Skipton :: BD23 6BP
Burton Leonard Church of England Primary School :: Harrogate :: HG3 3RW
Burton Salmon Community Primary School :: Leeds :: LS25 5JY
Cambian Spring Hill :: Ripon :: HG4 3HN
Camblesforth Community Primary Academy :: Selby :: YO8 8HW
Cambrai Primary School :: Catterick Garrison :: DL9 4BZ
Carleton Endowed CofE Primary School :: Skipton :: BD23 3DE
Carlton and Faceby Church of England Voluntary Aided Primary School :: Cleveland :: TS9 7BB
Carlton Primary School :: Goole :: DN14 9NR
Cawood Church of England Voluntary Aided Primary School :: Selby :: YO8 3SQ
Cedar House School :: LA2 7DD
Chapel Haddlesey Church of England Primary School :: Selby :: YO8 8QF
Christ Church Church of England Primary School :: Skipton :: BD23 2AP
Cliffe Voluntary Controlled Primary School :: YO8 6NN
Cononley Primary School :: Keighley :: BD20 8NA
Coppice Valley Primary School :: Harrogate :: HG1 2DN
Cowling Community Primary School :: Keighley :: BD22 0DF
Cracoe and Rylstone Voluntary Controlled Church of England Primary School :: Skipton :: BD23 6LQ
Craven College :: Skipton :: BD23 1US
Craven Pupil Referral Service :: Skipton :: BD23 2QS
Dacre Braithwaite Church of England Primary School :: Harrogate :: HG3 4AN
Darley Primary School :: Harrogate :: HG3 2PZ
Dishforth Airfield Community Primary School :: Thirsk :: YO7 3DL
Dishforth Church of England Voluntary Controlled Primary School :: YO7 3LN
Embsay Church of England Voluntary Controlled Primary School :: Skipton :: BD23 6RH
Ermysted's Grammar School :: Skipton :: BD23 1PL
Escrick Church of England Primary School :: YO19 6JQ
Fairburn Community Primary School :: WF11 9JY
Follifoot Church of England Primary School :: Harrogate :: HG3 1DU
Forest Moor School :: Harrogate :: HG3 2RA
Fountains Church of England Primary School :: Ripon :: HG4 3PJ
Gargrave Church of England Voluntary Controlled Primary School :: BD23 3RE
Giggleswick Primary School :: Settle :: BD24 0BJ
Giggleswick School :: Settle :: BD24 0DE
Glasshouses Community Primary School :: HG3 5QH
Glusburn Community Primary School :: Near Keighley :: BD20 8PJ
Goldsborough Church of England Primary School :: Knaresborough :: HG5 8NJ
Grassington Church of England Voluntary Controlled Primary School :: Skipton :: BD23 5LB
Great Ouseburn Community Primary School :: York :: YO26 9RG
Greatwood Community Primary School :: BD23 2SJ
Green Hammerton Church of England Primary School :: York :: YO26 8BN
Grewelthorpe Church of England Primary School :: Ripon :: HG4 3BH
Grewelthorpe Church of England Primary School :: Ripon :: HG4 3BH
Hambleton Church of England Voluntary Controlled Primary School :: YO8 9HP
Hampsthwaite Church of England Primary School :: Harrogate :: HG3 2EZ
Harrogate Grammar School :: Harrogate :: HG2 0DZ
Harrogate High School :: Harrogate :: HG1 4AP
Harrogate Ladies College :: Harrogate :: HG1 2QG
Harrogate Language Academy :: Harrogate :: HG1 2SZ
Harrogate, Bilton Grange Primary School :: Harrogate :: HG1 3BA
Harrogate, Grove Road Community Primary School :: Harrogate :: HG1 5EP
Hellifield Community Primary School :: Skipton :: BD23 4HA
Hemingbrough Community Primary School :: selby :: YO8 6QS
Hemingbrough Community Primary School :: Selby :: YO8 6QS
Hensall Community Primary School :: Near Goole :: DN14 0QQ
Henshaws College :: Harrogate :: HG1 4ED
Holy Trinity Church of England Primary School :: HG4 2ES
Hookstone Chase Primary School :: Harrogate :: HG2 7DJ
Ingleton Primary School :: Carnforth :: LA6 3DY
Kellington Primary School :: Nr Goole :: DN14 0NY
Kettlesing Felliscliffe Community Primary School :: Harrogate :: HG3 2LB
Kettlewell Primary School :: Skipton :: BD23 5HX
Kildwick Church of England Voluntary Controlled Primary School :: Keighley :: BD20 9BH
Killinghall Church of England Primary School :: Bradford :: BD3 7JF
King James's School :: Knaresborough :: HG5 8EB
Kirby Hill Church of England (VC) Primary School :: York :: YO51 9DS
Kirk Fenton Primary School :: Tadcaster :: LS24 9RF
Kirk Hammerton Church of England Primary School :: York :: YO26 8DE
Kirk Smeaton Church of England Voluntary Controlled Primary School :: Pontefract :: WF8 3JY
Kirkby in Malhamdale United Voluntary Aided Primary School :: Skipton :: BD23 4BY
Kirkby Malzeard Church of England Primary School :: Ripon :: HG4 3RT
Kirkbymoorside Community Primary School :: York :: YO62 6AG
Knaresborough St John's Church of England Primary School :: HG5 0JN
Long Marston Church of England Voluntary Controlled Primary School :: York :: YO26 7LR
Long Preston Endowed Voluntary Aided Primary School :: Skipton :: BD23 4PN
Lothersdale Primary School :: Keighley :: BD20 8HB
Markington Church of England Primary & Nursery School :: Harrogate :: HG3 3NR
Marton-Cum-Grafton Church of England Primary School :: York :: YO51 9QB
Masham CofE Primary School :: Ripon :: HG4 4EG
Masham CofE VA Primary School :: Ripon :: HG4 4EG
Meadowside Academy :: Knaresborough :: HG5 0SL
Monk Fryston Church of England Primary School :: leeds :: LS25 5PN
Moorside Primary School & Nursery :: Ripon :: HG4 1SU
New Park Primary Academy :: Harrogate :: HG1 3HF
Nidderdale High School :: Harrogate :: HG3 5HL
North Duffield Community Primary School :: Selby :: YO8 5RZ
North Rigton Church of England Primary School :: Leeds :: LS17 0DW
North Stainley Church of England Primary School :: Ripon :: HG4 3HT
Nun Monkton Primary Foundation School :: York :: YO26 8ER
Oatlands Community Junior School :: Harrogate :: HG2 8QP
Oatlands Infant School :: Harrogate :: HG2 8BT
Outwood Academy Ripon :: HG4 2DE
Outwood Primary Academy Greystone :: Ripon :: HG4 1RW
Pannal Primary School :: HG3 1LH
Queen Ethelburga's College :: York :: YO26 9SS
Queen Ethelburga's Prep School :: York :: YO26 9SS
Read School :: Selby :: YO8 8NL
Riccall Community Primary School :: YO19 6PF
Richard Taylor Church of England Primary School :: Harrogate :: HG1 3DT
Ripley Endowed Church of England School :: Harrogate :: HG3 3AY
Ripon Cathedral Church of England Primary School :: Ripon :: HG4 1LT
Ripon Grammar School :: Ripon :: HG4 2DG
Riverside School, Tadcaster :: LS24 9JN
Roecliffe CofE Primary School :: York :: YO51 9LY
Rossett Acre Primary School :: Harrogate :: HG2 9PH
Rossett School :: Harrogate :: HG2 9JP
Saltergate Infant School :: Harrogate :: HG3 2TT
Saltergate Junior School :: Harrogate :: HG3 2TT
Saxton Church of England Primary School :: Tadcaster :: LS24 9QF
Scotton Lingerfield Primary School :: Knaresborough :: HG5 9JA
Selby Abbey Primary School :: Selby :: YO8 4QB
Selby Community Primary School :: selby :: YO8 4DL
Selby High School Specialist School for the Arts and Science :: Selby :: YO8 4HT
Selby, Longman's Hill Community Primary School :: Selby :: YO8 9BG
Settle Church of England Voluntary Controlled Primary School :: Settle :: BD24 9BW
Settle College :: Settle :: BD24 0AU
Sharow Church of England Primary School :: Ripon :: HG4 5BJ
Sherburn High School :: Leeds :: LS25 6AS
Sherburn Hungate Primary School :: LS25 6DD
Sherburn in Elmet, Athelstan Community Primary School :: Leeds :: LS25 6QN
Sicklinghall Community Primary School :: Wetherby :: LS22 4BD
Skipton Girls High School :: Skipton :: BD20 5QG
Skipton Parish Church of England Primary School :: BD23 2ES
Skipton, Water Street Community Primary School :: Skipton :: BD23 1PE
South Craven School :: Keighley :: BD20 7RL
South Milford Primary School :: leeds :: LS25 5AU
Spofforth Church of England Controlled Primary School :: HG3 1BA
Springwater Academy :: Harrogate :: HG2 7LW
Springwell Harrogate :: Harrogate :: HG1 5EP
St Aidan's Church of England High School :: Harrogate :: HG2 8JR
St Aidans and St John Fisher Associated Sixth Form
St Cuthbert's Church of England Primary School, Pateley Bridge :: Harrogate :: HG3 5LE
St John Fisher Catholic Academy :: Harrogate :: HG2 8PT
St Joseph's Catholic Primary School, a Voluntary Academy (Tadcaster) :: Tadcaster :: LS24 9JG
St Joseph's Catholic Primary School, Harrogate, A Voluntary Academy :: Harrogate :: HG1 2DP
St Mary's Catholic Primary School, a Voluntary Academy :: Selby :: YO8 9AX
St Mary's Primary School Knaresborough, A Voluntary Catholic Academy :: Knaresborough :: HG5 9BG
St Nicholas Church of England Primary School, West Tanfield :: Ripon :: HG4 5JN
St Peter's Church of England Primary School :: Harrogate :: HG1 1JA
St Robert's Catholic Primary School, A Voluntary Academy :: Harrogate :: HG1 4AP
St Stephen's Catholic Primary School and Nursery, A Voluntary Academy (Skipton) :: Skipton :: BD23 1PJ
St Wilfrid's Catholic Primary School, a Voluntary Academy :: Ripon :: HG4 2ES
Starbeck Primary Academy :: Harrogate :: HG2 7LL
Staveley Community Primary School :: Knaresborough :: HG5 9LQ
Staynor Hall Primary Academy :: Selby :: YO8 8GE
Stonegate School :: Lancashire :: LA2 7BX
Strive for Education :: Harrogate :: HG1 5PD
Summerbridge Primary School :: Harrogate :: HG3 4JN
Sutton CofE Primary and Nursery School :: Keighley :: BD20 7JS
Sutton-in-Craven Community Primary School :: Keighley :: BD20 7ES
Tadcaster Grammar School :: Tadcaster :: LS24 9NB
Tadcaster Primary Academy :: Tadcaster :: LS24 8AN
The Boyle and Petyt Primary School :: Skipton :: BD23 6HE
The Forest School :: Knaresborough :: HG5 0DQ
The Rubicon Centre :: Selby :: YO8 4AN
The Skipton Academy :: Skipton :: BD23 1UQ
Thornton in Craven Community Primary School :: Thornton-in-Craven :: BD23 3SX
Thornton Watlass Church of England Primary School :: Ripon :: HG4 4AH
Thorpe Willoughby Community Primary School :: Selby :: YO8 9NX
Threshfield Primary School :: Skipton :: BD23 5NP
Tockwith Church of England Primary Academy :: York :: YO26 7RP
Upper Wharfedale School :: Skipton :: BD23 5BS
Western Primary School :: Harrogate :: HG2 0NA
Wharfedale Montessori School :: Skipton :: BD23 6AN
Whitley and Eggborough Community Primary School :: Goole :: DN14 0WE
Willow Tree Community Primary School :: Harrogate :: HG2 7SG
Wistow Parochial Church of England Voluntary Controlled Primary School :: Selby :: YO8 3UU
Young Carers Details 2
Young Carers Details
First Name
Last Name
Street Address
Street Address Line 2
Street Address Line 3
City
Postcode
Parents Phone Number
Parents Phone Number 2
Parents Email
Further Demographics
Date of Birth
Gender
- Please select an option -
Prefer not to say
Female
Male
Other
Transgender
Non-binary
Is the gender the young carer identifies with the same as their sex registered at birth?
- Please select an option -
Yes
No, please write gender below
Prefer not to say
Not provided
Ethnicity
- Please select an option -
Afghani
Arab
Asian / British Asian:Bangladeshi
Asian / British Asian: Indian
Asian / British Asian: Pakistani
Black / Black British: African
Black / Black British: Caribbean
Chinese / British Chinese
Eritrean
Gypsy
Irish Traveller
Kashmiri
Kurdish
Mixed White and Asian
Mixed White and Black African
Mixed White and Black Caribbean
Not Provided
Other: White
Other Asian Background
Other Black Background
Other Ethnic Group
Other Mixed Background
Other White Background
Prefer not to say
Rohingya
Roma
Vietnamese
White Albanian
White and Asian
White British
White Bulgarian
White Croation
White Czech
White East European
White English
White Estonian
White Hungarian
White Irish
White Latvian
White Lithuanian
White Northern Irish
White Polish
White Romanian
White Scottsh
White Slovakian
White Welsh
Sexuality
- Please select an option -
Bisexual/pansexual
Gay
Heterosexual
Lesbian
Not provided
Other sexual orientation (please state)
Prefer not to say
Too young/undecided
Religion
- Please select an option -
Agnostic
Anglican (Church in Wales)
Anglican (Church of England)
Anglican (Church of Ireland)
Anglican (Church of Scotland)
Atheist
Baptist
Buddhist
Catholic (Orthodox)
Catholic (Roman)
Christian
Hindu
Humanist
Jehovah's Witness
Jewish
Methodist
Muslim
Non-confirmist
Non-religious
Not Disclosed
Not Known
Other
Pentecostal
Prefer not to say
Presbyterian
Quaker
Rastafarian
Salvationist (Salvation Army)
Sikh
Unitarian
Does the young carers consider themselves to have a disability?
- Please select an option -
No
Not provided
Prefer not to say
Registered Disabled
Yes (Please provide more details)
Is the young carers disability substantial and/or long term?
Substantial
Long-term
Details of the young carers disability
Country of Origin
- Please select an option -
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas (The)
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Republic of the
Congo, The DR of
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dijbouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia (The)
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Ireland
North Macedonia
Norway
Not known
Oman
Other, please state
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Phillippines
Poland
Portugal
Prefer not to say
Qatar
Republic of Ireland
Romania
Russia
Rwanda
Saint Lucia
Saints Kitts and Nevis
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuala
Vietnam
Wales
Yemen
Zambia
Zimbabwe
Young Carer 2 West Yorkshire Schools
West Yorkshire Schools
Please select a school below
- Choose existing -
Addingham Primary School :: LS29 0NR
Al Mumin Primary and Secondary School :: Bradford :: BD8 7DA
All Saints CofE Primary School (Bradford) :: BD5 0NG
All Saints CofE Primary School (IIkley) :: IIkley :: LS29 9BE
Appleton Academy :: BD12 8AL
Ashlands Primary School :: LS29 8JY
Atlas Community Primary School :: Bradford :: BD8 8DL
Baildon Church of England Primary School :: Shipley :: BD17 7LY
Baildon Glen Primary School :: Shipley :: BD17 7LY
Bankfoot Primary School :: Bradford :: BD5 9NR
Barkerend Primary Leadership Academy :: Bradford :: BD3 0QT
Beckfoot Allerton Primary School and Nursery :: Bradford :: BD15 7HB
Beckfoot Heaton Primary :: Bradford :: BD9 6LL
Beckfoot Nessfield :: Keighley :: BD22 6NP
Beckfoot Oakbank :: Keighley :: BD22 7DU
Beckfoot Phoenix :: Keighley :: BD22 6HZ
Beckfoot Priestthorpe Primary School & Nursery :: Bingley :: BD16 4JS
Beckfoot School :: BD16 1EE
Beckfoot Thornton :: Bradford :: BD13 3BH
Beckfoot Upper Heaton :: Bradford :: BD9 6AL
Beechcliffe Special School :: Keighley :: BD10 0TD - Thackley site
Belle Vue Girls Academy :: Bradford :: BD9 6NA
Ben Rhydding Primary School :: Ilkley :: LS29 8QH
Bingley Grammar School :: Bradford :: BD16 2RS
Blakehill Primary School :: Bradford :: BD10 8QN
Bowling Park Primary School :: Bradford :: BD5 8BT
Brackenhill Primary School :: Bradford :: BD7 4HA
Bradford Academy :: Bradford :: BD4 7QJ
Bradford Alternative Provision Academy :: Shipley :: BD18 3JE
Bradford Beacon School :: Bradford :: BD5 8LJ
Bradford Children and Families :: Keighley :: BD22 6JB
Bradford Christian School :: Bradford :: BD2 1BT
Bradford College 14-16 Provision :: Bradford :: BD1 0DX
Bradford Educational Psychology Team :: Bradford :: BD1 1NN
Bradford Forster Academy :: Bradford :: BD4 8RG
Bradford Girls Grammar School :: Bradford :: BD9 6RB
Bradford Grammar School :: Bradford :: BD9 4JP
Bradleys Both Community Primary School :: Keighley :: BD20 9EF
Broadbeck Learning Centre :: Bradford :: BD6 2LE
Bronte Girls Academy :: Bradford :: BD4 7EB
Bronte Girls' Academy :: Bradford :: BD4 7EB
Burley & Woodhead CE Primary School :: Burley in Wharfedale :: LS29 7RQ
Burley Oaks Primary School :: Ilkley :: LS29 7EJ
Buttershaw Business & Enterprise College :: BD6 3PX :: Bradford :: BD6 3PX
Buttershaw Business & Enterprise College Academy :: Bradford :: BD6 3PX
Buttershaw Business & Enterprise College Academy BD6 3PX :: Bradford :: BD6 3PX
Buttershaw Business & Enterprise College BD63PX :: Bradford :: BD6 3PX
Byron Primary School :: Bradford :: BD3 0AB
Carlton Bolling :: Bradford :: BD3 0DU
Carlton Keighley :: Keighley :: BD20 6EB
Carlton Mills :: Bradford :: BD9 5AT
Carrwood Primary School :: Bradford :: BD4 0EQ
Cavendish Primary School :: Bradford :: BD2 2DU
Chellow Heights School :: Bradford :: BD9 6RY
Chellow Heights Special School :: Bradford :: BD9 6AL
Christ Church Church of England Academy :: Shipley :: BD18 2NT
Clayton St John CofE Primary School :: Bradford :: BD14 6DD
Clayton Village Primary School :: Bradford :: BD14 6AD
Co-op Academy Delius :: Bradford :: BD3 8QX
Co-op Academy Grange :: Bradford :: BD5 9ET
Co-op Academy Parkland :: Bradford :: BD10 9BG
Co-op Academy Penny Oaks :: Bradford :: BD3 9ND
Co-op Academy Princeville :: Bradford :: BD7 2AH
Co-op Academy Southfield :: Bradford :: BD5 9ET
Co-Op Beckfield Primary School :: Bradford :: BD4 8ER
Cononley Primary School :: Keighley :: BD20 8NA
Copthorne Primary School :: Bradford :: BD7 3AY
Cottingley Village Primary School :: Bd16 1sy
Cowling Community Primary School :: Keighley :: BD22 0DF
Crossflatts Primary School :: Bingley :: BD16 2EP
Crossley Hall Primary School :: Bradford :: BD8 0HJ
Crystal Gardens Primary School :: Bradford :: BD5 7PE
Cullingworth Village Primary School :: Bradford :: BD13 5DA
Darul Uloom Dawatul Imaan :: Bradford :: BD4 9PH
Denholme Primary :: Bradford :: BD13 4AY
Denholme primary school :: BD13 4FD
Dixons Allerton Academy :: Bradford :: Bd9 6aj
Dixons City Academy :: Bradford :: BD5 7RR
Dixons Cottingley Academy :: Bingley :: BD16 1TZ
Dixons Kings Academy :: Bradford :: BD7 2AN
Dixons Manningham Academy :: Bradford :: BD8 8HY
Dixons Marchbank Primary :: Bradford :: BD3 8QQ
Dixons McMillan Academy :: Bradford :: BD5 0BE
Dixons Music Primary :: BD5 0BE
Dixons Sixth Form Bradford :: Bradford :: BD5 7JR
Dixons Trinity Academy :: Bradford :: BD5 0BE
East Morton CofE Primary School :: Keighley :: BD20 5SE
Eastburn Primary School :: Keighley :: BD20 8UX
Eastwood Community School :: Keighley :: BD21 3JL
Eden Boys Leadership Academy Bradford :: Bradford :: BD8 9AR
Eden Springs Girls Secondary :: Bradford :: BD5 7PE
Eldwick Primary School :: Bingley :: BD16 3LE
Eternal Light :: Bradford :: BD5 9DH
Farfield Primary and Nursery School :: BD6 2BS
Farnham Primary School :: Bradford :: BD7 3HU
Fearnville Primary School :: Bradford :: BD4 8DX
Feversham Girls Secondary Academy :: Bradford :: BD3 0LT
Foxhill Primary School :: Bradford :: BD13 1LN
Frizinghall Primary School :: Bradford :: BD9 4HP
Ghyll Royd School and Pre-School :: Ilkley :: LS29 7HW
Girlington Primary School :: Bradford :: BD8 9NR
Glusburn Community Primary School :: Near Keighley :: BD20 8PJ
Green Lane Primary School :: Bradford :: BD8 8HT
Greengates Primary Academy :: BD10 9AX
Grove House Primary School :: Bradford :: BD2 4ED
Guiseley School :: Leeds :: LS20 8DT
Hanson Academy :: Bradford :: BD2 1JP
Harden Primary School :: Bingley :: BD16 1LJ
Haworth Primary School :: Keighley :: BD22 8DW
Hazelbeck Special School :: Bingley :: BD16 1EE
Heaton St Barnabas CofE Aided Primary School :: Bradford :: BD9 4DA
High Crags Primary Leadership Academy :: Shipley :: BD18 2ES
High Park School :: Bradford :: BD9 6RY
Hill Top CofE Primary School :: Bradford :: BD12 0TL
Hollingwood Primary School :: Bradford :: BD7 4BE
Holybrook Primary School :: Bradford :: BD10 0HL
Holycroft Primary School :: Keighley :: BD21 1JF
Home Farm Primary School :: Bradford :: BD6 3NR
Horton Grange Primary School :: Bradford :: BD7 2EU
Horton Park Primary School :: Bradford :: BD5 9LQ
Hoyle Court Primary School :: Shipley :: BD17 6DN
Idle CofE Primary School :: Bradford :: BD10 8LU
Ilkley Grammar School :: Ilkley :: LS29 8TR
Immanuel College :: Bradford :: BD10 9AQ
Ingrow Primary School :: Keighley :: BD21 1BW
Ingrow Primary school :: Keighley :: BD21 1BW
Iqra Primary Academy :: Bradford :: BD8 8DA
Islamic Tarbiyyah Preparatory School :: Bradford :: BD8 8AW
Jaamiatul Imaam Muhammad Zakaria :: Bradford :: BD14 6JX
Keelham Primary School :: Bradford :: BD13 4HH
Keighley St Andrews CofE Primary School and Nursery :: Keighley :: BD21 2ND
Kildwick Church of England Voluntary Controlled Primary School :: Keighley :: BD20 9BH
Killinghall Church of England Primary School :: Bradford :: BD3 7JF
Knowleswood Primary School :: Bradford :: BD4 9AE
Lady Lane Park School & Nursery :: Bingley :: BD16 4AP
Lady Royd Primary School :: Bradford :: BD9 6RB
Laisterdyke Leadership Academy :: BRADFORD :: BD3 8HE
Lapage Primary School and Nursery :: Bradford :: BD3 8QX
Laycock primary School :: Keighley :: BD22 0PP
Lees Primary School :: Keighley :: BD22 9DL
Ley Top Primary School :: Bradford :: BD15 7PQ
Lidget Green Primary School :: Bradford :: BD7 2QN
Lift Feversham :: Bradford :: BD3 9EG
Lilycroft Primary School :: Bradford :: BD9 5AD
Long Lee Primary School :: Keighley :: BD21 5DF
Lothersdale Primary School :: Keighley :: BD20 8HB
Low Ash Primary School :: Shipley :: BD18 1AA
Low Moor CofE Primary School :: Bradford :: BD12 0NN
Lower Fields Primary Academy :: Bradford :: BD4 8RG
Margaret McMillan Primary School :: Bradford :: BD9 5DF
Marshfield Primary :: Bradford :: BD5 9DS
Meadow Bank Community School :: Bradford :: BD4 8DX
Menston Primary School :: Ilkley :: LS29 6NY
Merlin Top Primary Academy :: Keighley :: BD22 6HZ
Miriam Lord Primary School :: Bradford :: BD8 8RG
Moorfield School & Nursery :: Ilkley :: LS29 8RL
Myrtle Park Primary :: Bingley :: BD16 1HB
New College Bradford :: Bradford :: BD5 0DX
Newby Primary School :: Bradford :: BD5 7DQ
Newhall Park Primary School :: Bradford :: BD4 6AF
Oakworth Primary School :: Keighley :: BD22 7HX
Oasis Academy Lister Park :: Bradford :: BD8 7ND
Oastlers :: Bradford :: Bradford
Oldfield Primary School :: Keighley :: BD22 0HZ
One In A Million Free School :: Bradford :: BD8 7DX
Our Lady and St Brendans Catholic Primary School, A Voluntary Academy :: Bradford :: BD10 0QA
Our Lady of Victories Catholic School :: Keighley :: BD22 6JP
Oxenhope CofE Primary School :: Keighley :: BD22 9LH
Park Aspire Alternative Provision Academy :: Bradford :: BD5 8DB
Parkside School :: Bradford :: BD13 5AD
Parkwood Primary School :: Keighley :: BD21 4QH
Peel Park Primary School and Nursery :: Bradford :: BD2 4PR
Poplars Farm Primary School :: Bradford :: BD2 1LQ
Prism Independent School :: Bradford :: BD8 9ES
Rainbow Primary Leadership Academy :: Bradford :: BD5 0HD
Reevy Hill Primary School :: Bradford :: BD6 3ST
Riddlesden St Marys CofE Primary School :: Keighley :: BD20 5AB
Russell Hall Primary School :: Bradford :: BD13 2AW
Ryecroft Primary Academy :: Bradford :: BD4 0LS
Saltaire Primary School :: Shipley :: BD18 4NR
Sandal Primary School :: Bradford :: BD17 5DH
Sandy Lane Primary School :: Bradford :: BD15 9JU
Selby Community Primary School :: yo8 4dl
Shibden Head Primary Academy :: Bradford :: BD13 2ND
Shibden Head Primary Academy :: Bradford :: BD13 2ND
Shipley CofE Primary School :: Shipley :: BD18 2PT
Shipley College :: BD18 3JW
Shirley Manor Primary School :: Bradford :: BD12 8SA
Silsden Primary School :: Keighley :: BD20 0JJ
South Craven School :: Keighley :: BD20 7RL
Southmere Primary Academy :: Bradford :: BD7 3NR
St Annes Catholic Primary School :: Keighley :: BD21 3AD
St Anthonys Catholic Primary School, A Voluntary Academy (Clayton) :: Bradford :: BD14 6HW
St Anthonys Catholic Primary School, A Voluntary Academy (Shipley) :: Shipley :: BD18 1HD
St Bedes and St Josephs Catholic College, A Voluntary Academy :: Bradford :: BD9 4BQ
St Columbas Catholic Primary School, a Voluntary Academy :: Bradford :: BD4 9PY
St Cuthbert and the First Martyrs Catholic Primary School, A Voluntary Academy :: Bradford :: BD9 5AT
St Francis Catholic Primary School, A Voluntary Academy :: Bradford :: BD2 4ES
St John the Evangelist Catholic Primary School :: Bradford :: BD6 3DQ
St Johns CofE Primary School :: Bradford :: BD4 6JF
St Josephs Catholic Primary School (Keighley) :: Keighley :: BD21 1AR
St Josephs Catholic Primary School, A Voluntary Academy (Bingley) :: Bingley :: BD16 4HQ
St Josephs Catholic Primary School, A Voluntary Academy (Bradford) :: Bradford :: BD5 0RB
St Lukes CofE Primary School :: Bradford :: BD2 3NS
St Mary's and St Peter's Catholic Primary School :: Bradford :: BD3 9ND
St Matthews Catholic Primary School, a Voluntary Academy :: Bradford :: BD15 7NE
St Matthews CofE Primary School and Nursery :: Bradford :: BD5 8JQ
St Oswalds Church of England Primary Academy :: Bradford :: BD7 3JT
St Pauls CofE Primary School :: Bradford :: BD6 1ST
St Philips CofE Primary School :: Bradford :: BD8 9JL
St Stephens CofE Primary School (Bradford) :: Bradford :: BD5 7HU
St Walburga's Catholic Primary School :: Shipley :: BD18 4RL
St Walburgas Catholic Primary School, A Voluntary Academy :: Shipley :: BD18 4RL
St Williams Catholic Primary School, A Voluntary Academy :: Bradford :: BD8 9RG
St Winefrides Catholic Primary School, A Voluntary Academy :: Bradford :: BD6 1SR
St. Clares Catholic Primary School, A Voluntary Academy :: Bradford :: BD2 3JD
Stanbury Village School :: Keighley :: BD22 0HA
Steeton Primary School :: Keighley :: BD20 6NN
Stocks Lane Primary School :: Bradford :: BD13 2RH
Sutton CofE Primary and Nursery School :: Keighley :: BD20 7JS
Sutton in Craven Cp primary school :: Keighley :: BD20 7es
Sutton-in-Craven Community Primary School :: Keighley :: BD20 7ES
Swain House Primary School :: Bradford :: BD2 1JL
Thackley Primary School :: Bradford :: BD10 8PJ
The Academy At St. James :: BD15 7YD
The Academy At St. James :: Bradford :: BD15 7YD
The Boyle and Petyt Primary School :: Skipton :: BD23 6HE
The Fountain School :: Bradford :: BD5 8BP
The Holy Family Catholic School, a Voluntary Academy :: Keighley :: BD20 6LH
The Home Study Project Co Pakistan Community and Neighbourhood Assoc :: Bradford :: BD8 8EJ
The Sacred Heart Catholic Primary School :: Ilkley :: LS29 8NL
Thornbury Primary Leadership Academy :: BD3 7AU
Thornton Primary School :: Bradford :: BD13 3NN
Thorpe Primary :: Bradford :: BD10 9PY
Thorpe Willoughby Primary School :: Bradford :: BD10 9PY
Titus Salt School :: Shipley :: BD17 5RH
Tong Leadership Academy :: Bradford :: BD4 6NR
Training and Skills Centre :: Bradford :: BD3 9BE
Trinity Academy Bradford :: Bradford :: BD13 2AS
Trinity All Saints CofE VA Primary School :: Bingley :: BD16 2PP
University of Bradford :: Bradford :: BD7 1DP
Upper Wharfedale School :: Skipton :: BD23 5BS
Victoria Primary School :: Keighley :: BD21 2RD
Wellington Primary School :: Bradford :: BD2 3DE
Westbourne Primary School :: Bradford :: BD8 7PL
Westminster Church of England Primary Academy :: Bradford :: BD3 0HW
Westville House School :: Ilkley :: LS29 0DQ
Whetley Academy Bradford :: Bradford :: BD8 9HZ
Wibsey Primary School :: Bradford :: BD6 1RL
Wilsden Primary School :: Bradford :: BD15 0AE
Woodlands Church of England Primary Academy :: Bradford :: BD12 7EZ
Woodside Academy :: Bradford :: BD6 2PG
Worth Valley Primary School :: Bradford :: BD22 7AX
Worthinghead Primary School :: BD12 9DH
Wycliffe CofE Primary School :: Shipley :: BD18 3HZ
Young Carer 2 North Yorkshire Schools
North Yorkshire Schools
Please select a school below
- Choose existing -
Admiral Long Church of England Primary School :: Harrogate :: HG3 3EJ
All Saints Church of England School :: Harrogate :: HG3 1HD
Ashville College :: Harrogate :: HG2 9JP
Askwith Primary School :: Otley :: LS21 2HX
Aspin Park Academy :: Knaresborough :: HG5 8LQ
Austwick Church of England VA Primary School :: Lancashire :: LA2 8BN
Barkston Ash Catholic Primary School, a Voluntary Academy :: Tadcaster :: LS24 9PS
Barlby Bridge Community Primary School :: York :: YO8 5AA
Barlby Community Primary School :: Selby :: YO8 5JQ
Barlby High School :: Selby :: YO8 5JP
Barlow Church of England Primary School :: Selby :: YO8 8ES
Barwic Parade Community Primary School :: Selby :: YO8 8DJ
Beckwithshaw Community Primary School :: Harrogate :: HG3 1QW
Belmont Grosvenor School :: Harrogate :: HG3 2JG
Bentham Community Primary School :: Lancashire :: LA2 7BP
Birstwith Church of England Primary School :: Harrogate :: HG3 2NJ
Bishop Monkton Church of England Primary School :: Harrogate :: HG3 3QW
Boroughbridge High School :: Boroughbridge :: YO51 9JX
Boroughbridge Primary School :: York :: YO51 9EB
Brackenfield School :: Harrogate :: HG1 2HE
Bradleys Both Community Primary School :: Keighley :: BD20 9EF
Brayton Academy :: Selby :: YO8 9QS
Brayton Church of England Primary School :: Selby :: YO8 9DZ
Brooklands School :: Skipton :: BD23 2DB
Brotherton and Byram Community Primary Academy :: Knottingley :: WF11 9HQ
Burnsall Voluntary Aided Primary School :: Skipton :: BD23 6BP
Burton Leonard Church of England Primary School :: Harrogate :: HG3 3RW
Burton Salmon Community Primary School :: Leeds :: LS25 5JY
Cambian Spring Hill :: Ripon :: HG4 3HN
Camblesforth Community Primary Academy :: Selby :: YO8 8HW
Cambrai Primary School :: Catterick Garrison :: DL9 4BZ
Carleton Endowed CofE Primary School :: Skipton :: BD23 3DE
Carlton and Faceby Church of England Voluntary Aided Primary School :: Cleveland :: TS9 7BB
Carlton Primary School :: Goole :: DN14 9NR
Cawood Church of England Voluntary Aided Primary School :: Selby :: YO8 3SQ
Cedar House School :: LA2 7DD
Chapel Haddlesey Church of England Primary School :: Selby :: YO8 8QF
Christ Church Church of England Primary School :: Skipton :: BD23 2AP
Cliffe Voluntary Controlled Primary School :: YO8 6NN
Cononley Primary School :: Keighley :: BD20 8NA
Coppice Valley Primary School :: Harrogate :: HG1 2DN
Cowling Community Primary School :: Keighley :: BD22 0DF
Cracoe and Rylstone Voluntary Controlled Church of England Primary School :: Skipton :: BD23 6LQ
Craven College :: Skipton :: BD23 1US
Craven Pupil Referral Service :: Skipton :: BD23 2QS
Dacre Braithwaite Church of England Primary School :: Harrogate :: HG3 4AN
Darley Primary School :: Harrogate :: HG3 2PZ
Dishforth Airfield Community Primary School :: Thirsk :: YO7 3DL
Dishforth Church of England Voluntary Controlled Primary School :: YO7 3LN
Embsay Church of England Voluntary Controlled Primary School :: Skipton :: BD23 6RH
Ermysted's Grammar School :: Skipton :: BD23 1PL
Escrick Church of England Primary School :: YO19 6JQ
Fairburn Community Primary School :: WF11 9JY
Follifoot Church of England Primary School :: Harrogate :: HG3 1DU
Forest Moor School :: Harrogate :: HG3 2RA
Fountains Church of England Primary School :: Ripon :: HG4 3PJ
Gargrave Church of England Voluntary Controlled Primary School :: BD23 3RE
Giggleswick Primary School :: Settle :: BD24 0BJ
Giggleswick School :: Settle :: BD24 0DE
Glasshouses Community Primary School :: HG3 5QH
Glusburn Community Primary School :: Near Keighley :: BD20 8PJ
Goldsborough Church of England Primary School :: Knaresborough :: HG5 8NJ
Grassington Church of England Voluntary Controlled Primary School :: Skipton :: BD23 5LB
Great Ouseburn Community Primary School :: York :: YO26 9RG
Greatwood Community Primary School :: BD23 2SJ
Green Hammerton Church of England Primary School :: York :: YO26 8BN
Grewelthorpe Church of England Primary School :: Ripon :: HG4 3BH
Grewelthorpe Church of England Primary School :: Ripon :: HG4 3BH
Hambleton Church of England Voluntary Controlled Primary School :: YO8 9HP
Hampsthwaite Church of England Primary School :: Harrogate :: HG3 2EZ
Harrogate Grammar School :: Harrogate :: HG2 0DZ
Harrogate High School :: Harrogate :: HG1 4AP
Harrogate Ladies College :: Harrogate :: HG1 2QG
Harrogate Language Academy :: Harrogate :: HG1 2SZ
Harrogate, Bilton Grange Primary School :: Harrogate :: HG1 3BA
Harrogate, Grove Road Community Primary School :: Harrogate :: HG1 5EP
Hellifield Community Primary School :: Skipton :: BD23 4HA
Hemingbrough Community Primary School :: selby :: YO8 6QS
Hemingbrough Community Primary School :: Selby :: YO8 6QS
Hensall Community Primary School :: Near Goole :: DN14 0QQ
Henshaws College :: Harrogate :: HG1 4ED
Holy Trinity Church of England Primary School :: HG4 2ES
Hookstone Chase Primary School :: Harrogate :: HG2 7DJ
Ingleton Primary School :: Carnforth :: LA6 3DY
Kellington Primary School :: Nr Goole :: DN14 0NY
Kettlesing Felliscliffe Community Primary School :: Harrogate :: HG3 2LB
Kettlewell Primary School :: Skipton :: BD23 5HX
Kildwick Church of England Voluntary Controlled Primary School :: Keighley :: BD20 9BH
Killinghall Church of England Primary School :: Bradford :: BD3 7JF
King James's School :: Knaresborough :: HG5 8EB
Kirby Hill Church of England (VC) Primary School :: York :: YO51 9DS
Kirk Fenton Primary School :: Tadcaster :: LS24 9RF
Kirk Hammerton Church of England Primary School :: York :: YO26 8DE
Kirk Smeaton Church of England Voluntary Controlled Primary School :: Pontefract :: WF8 3JY
Kirkby in Malhamdale United Voluntary Aided Primary School :: Skipton :: BD23 4BY
Kirkby Malzeard Church of England Primary School :: Ripon :: HG4 3RT
Kirkbymoorside Community Primary School :: York :: YO62 6AG
Knaresborough St John's Church of England Primary School :: HG5 0JN
Long Marston Church of England Voluntary Controlled Primary School :: York :: YO26 7LR
Long Preston Endowed Voluntary Aided Primary School :: Skipton :: BD23 4PN
Lothersdale Primary School :: Keighley :: BD20 8HB
Markington Church of England Primary & Nursery School :: Harrogate :: HG3 3NR
Marton-Cum-Grafton Church of England Primary School :: York :: YO51 9QB
Masham CofE Primary School :: Ripon :: HG4 4EG
Masham CofE VA Primary School :: Ripon :: HG4 4EG
Meadowside Academy :: Knaresborough :: HG5 0SL
Monk Fryston Church of England Primary School :: leeds :: LS25 5PN
Moorside Primary School & Nursery :: Ripon :: HG4 1SU
New Park Primary Academy :: Harrogate :: HG1 3HF
Nidderdale High School :: Harrogate :: HG3 5HL
North Duffield Community Primary School :: Selby :: YO8 5RZ
North Rigton Church of England Primary School :: Leeds :: LS17 0DW
North Stainley Church of England Primary School :: Ripon :: HG4 3HT
Nun Monkton Primary Foundation School :: York :: YO26 8ER
Oatlands Community Junior School :: Harrogate :: HG2 8QP
Oatlands Infant School :: Harrogate :: HG2 8BT
Outwood Academy Ripon :: HG4 2DE
Outwood Primary Academy Greystone :: Ripon :: HG4 1RW
Pannal Primary School :: HG3 1LH
Queen Ethelburga's College :: York :: YO26 9SS
Queen Ethelburga's Prep School :: York :: YO26 9SS
Read School :: Selby :: YO8 8NL
Riccall Community Primary School :: YO19 6PF
Richard Taylor Church of England Primary School :: Harrogate :: HG1 3DT
Ripley Endowed Church of England School :: Harrogate :: HG3 3AY
Ripon Cathedral Church of England Primary School :: Ripon :: HG4 1LT
Ripon Grammar School :: Ripon :: HG4 2DG
Riverside School, Tadcaster :: LS24 9JN
Roecliffe CofE Primary School :: York :: YO51 9LY
Rossett Acre Primary School :: Harrogate :: HG2 9PH
Rossett School :: Harrogate :: HG2 9JP
Saltergate Infant School :: Harrogate :: HG3 2TT
Saltergate Junior School :: Harrogate :: HG3 2TT
Saxton Church of England Primary School :: Tadcaster :: LS24 9QF
Scotton Lingerfield Primary School :: Knaresborough :: HG5 9JA
Selby Abbey Primary School :: Selby :: YO8 4QB
Selby Community Primary School :: selby :: YO8 4DL
Selby High School Specialist School for the Arts and Science :: Selby :: YO8 4HT
Selby, Longman's Hill Community Primary School :: Selby :: YO8 9BG
Settle Church of England Voluntary Controlled Primary School :: Settle :: BD24 9BW
Settle College :: Settle :: BD24 0AU
Sharow Church of England Primary School :: Ripon :: HG4 5BJ
Sherburn High School :: Leeds :: LS25 6AS
Sherburn Hungate Primary School :: LS25 6DD
Sherburn in Elmet, Athelstan Community Primary School :: Leeds :: LS25 6QN
Sicklinghall Community Primary School :: Wetherby :: LS22 4BD
Skipton Girls High School :: Skipton :: BD20 5QG
Skipton Parish Church of England Primary School :: BD23 2ES
Skipton, Water Street Community Primary School :: Skipton :: BD23 1PE
South Craven School :: Keighley :: BD20 7RL
South Milford Primary School :: leeds :: LS25 5AU
Spofforth Church of England Controlled Primary School :: HG3 1BA
Springwater Academy :: Harrogate :: HG2 7LW
Springwell Harrogate :: Harrogate :: HG1 5EP
St Aidan's Church of England High School :: Harrogate :: HG2 8JR
St Aidans and St John Fisher Associated Sixth Form
St Cuthbert's Church of England Primary School, Pateley Bridge :: Harrogate :: HG3 5LE
St John Fisher Catholic Academy :: Harrogate :: HG2 8PT
St Joseph's Catholic Primary School, a Voluntary Academy (Tadcaster) :: Tadcaster :: LS24 9JG
St Joseph's Catholic Primary School, Harrogate, A Voluntary Academy :: Harrogate :: HG1 2DP
St Mary's Catholic Primary School, a Voluntary Academy :: Selby :: YO8 9AX
St Mary's Primary School Knaresborough, A Voluntary Catholic Academy :: Knaresborough :: HG5 9BG
St Nicholas Church of England Primary School, West Tanfield :: Ripon :: HG4 5JN
St Peter's Church of England Primary School :: Harrogate :: HG1 1JA
St Robert's Catholic Primary School, A Voluntary Academy :: Harrogate :: HG1 4AP
St Stephen's Catholic Primary School and Nursery, A Voluntary Academy (Skipton) :: Skipton :: BD23 1PJ
St Wilfrid's Catholic Primary School, a Voluntary Academy :: Ripon :: HG4 2ES
Starbeck Primary Academy :: Harrogate :: HG2 7LL
Staveley Community Primary School :: Knaresborough :: HG5 9LQ
Staynor Hall Primary Academy :: Selby :: YO8 8GE
Stonegate School :: Lancashire :: LA2 7BX
Strive for Education :: Harrogate :: HG1 5PD
Summerbridge Primary School :: Harrogate :: HG3 4JN
Sutton CofE Primary and Nursery School :: Keighley :: BD20 7JS
Sutton-in-Craven Community Primary School :: Keighley :: BD20 7ES
Tadcaster Grammar School :: Tadcaster :: LS24 9NB
Tadcaster Primary Academy :: Tadcaster :: LS24 8AN
The Boyle and Petyt Primary School :: Skipton :: BD23 6HE
The Forest School :: Knaresborough :: HG5 0DQ
The Rubicon Centre :: Selby :: YO8 4AN
The Skipton Academy :: Skipton :: BD23 1UQ
Thornton in Craven Community Primary School :: Thornton-in-Craven :: BD23 3SX
Thornton Watlass Church of England Primary School :: Ripon :: HG4 4AH
Thorpe Willoughby Community Primary School :: Selby :: YO8 9NX
Threshfield Primary School :: Skipton :: BD23 5NP
Tockwith Church of England Primary Academy :: York :: YO26 7RP
Upper Wharfedale School :: Skipton :: BD23 5BS
Western Primary School :: Harrogate :: HG2 0NA
Wharfedale Montessori School :: Skipton :: BD23 6AN
Whitley and Eggborough Community Primary School :: Goole :: DN14 0WE
Willow Tree Community Primary School :: Harrogate :: HG2 7SG
Wistow Parochial Church of England Voluntary Controlled Primary School :: Selby :: YO8 3UU
Cared For 1
Cared For Individual
First Name
Last Name
Gender
- Please select an option -
Prefer not to say
Female
Male
Other
Transgender
Non-binary
Date of Birth
Postcode
Relationship to the first young carer
Parent
Sibling
Grandparent
Niece/Nephew
Aunt/Uncle
Other
Relationship to the second young carer
Parent
Sibling
Grandparent
Niece/Nephew
Aunt/Uncle
Other
Conditions
Condition(s)
Please select all that apply
Autistic Spectrum Disorder/ADHD
Brain Injury
Cancer
COVID19
Dementia
Elderly/Frail
Learning Difficulty
Mental Health
Other
Physical Disability
Sensory Impairment
Substance Misuse
Cared For 2
Cared For Individual
First Name
Last Name
Gender
- Please select an option -
Prefer not to say
Female
Male
Other
Transgender
Non-binary
Date of Birth
Postcode
Relationship to the first young carer
Parent
Sibling
Grandparent
Niece/Nephew
Aunt/Uncle
Other
Relationship to the second young carer
Parent
Sibling
Grandparent
Niece/Nephew
Aunt/Uncle
Other
Conditions
Condition
Autistic Spectrum Disorder/ADHD
Brain Injury
Cancer
COVID19
Dementia
Elderly/Frail
Learning Difficulty
Mental Health
Other
Physical Disability
Sensory Impairment
Substance Misuse
Parent / Legal Guardian
Parent/Legal Guardian
First Name
Last Name
Gender
- Please select an option -
Prefer not to say
Female
Male
Other
Transgender
Non-binary
Date of Birth
Street Address
Street Address Line 2
City
Postcode
Phone Type
Phone
Mobile
Phone Number
Phone 2 Type
Phone
Mobile
Phone Number 2
Email
Activity
Details of Referral
Details of support required for the first young carer
About text formats
Restricted HTML
Allowed HTML tags: <a href hreflang> <em> <strong> <cite> <blockquote cite> <code> <ul type> <ol start type> <li> <dl> <dt> <dd> <h2 id> <h3 id> <h4 id> <h5 id> <h6 id>
Lines and paragraphs break automatically.
Web page addresses and email addresses turn into links automatically.
Does the young carer have a parent within the military?
Yes
No
Activity 3
Details of Referral
Details of support required for the second young carer
About text formats
Restricted HTML
Allowed HTML tags: <a href hreflang> <em> <strong> <cite> <blockquote cite> <code> <ul type> <ol start type> <li> <dl> <dt> <dd> <h2 id> <h3 id> <h4 id> <h5 id> <h6 id>
Lines and paragraphs break automatically.
Web page addresses and email addresses turn into links automatically.
Does the young carer have a parent within the military?
Yes
No
Assign To
Referral Fields
Activity Subject
All Services - Source
Professional
Contact Method
Webform
Activity Subject
All Services - Source
Professional
Contact Method
Webform
Service
Young Carers
Young Carers Bradford
Young Carers Craven
Young Carers Harrogate
Young Carers Selby
All Services - Service
Young Carers
Young Carers Bradford
Young Carers Craven
Young Carers Harrogate
Young Carers Selby
Assign To Young Carers Team
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Young Carers Team CR (Bradford) :: 160448
Young Carers Team CR (Craven) :: 160447
Young Carers Team CR (Harrogate) :: 147558
Young Carers Team CR (Selby) :: 170681
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