We're really looking forward to welcoming your child onto The Literacy Pirates' online, after-school programme!

We just need to gather a bit more information so that we can confirm your place.

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Your Child's Details



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Attending The Literacy Pirates


Sessions run 4-6pm. We will allocate a day and let you know. We can also change the day if needed.

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Your Child's Emergency Contacts

Who is your child's main emergency contact?





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Who is your child's second emergency contact?




Your Child's Needs


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Monitoring Information


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We collect this information to measure the success of our programme against national statistics, to monitor diversity, and to ensure that we are doing our best for all children. The information is confidential.

Consent & Agreements


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As part of the programme, your child will receive exciting opportunities to contribute to books and other products published by The Literacy Pirates. These are shared at closed events for the children, their families, their teachers and supporters.

As a charity, we need to market our work in order to raise funds and recruit supporters. This sometimes requires us to take photographs and videos our sessions to share in publicity material.

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If you have any special requirements regarding photo consent for your child, please get in touch. We will record them and ensure they are met. You can reach us at 07912 178037.

Evaluation

On a scale of 0 to 100, how would you rate your child's:

  • motivation
  • care for work
  • and ability to keep going?


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We collect this information to track how much progress your child makes on the programme. The information is confidential.

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Thank you for completing this form!
Please press the Submit button below to send the form to us.


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