Accessing support if you

are a parent or carer

Complete form

Please remember if you feel unable to complete this form in full, we have a shorter form available here or you can call us on 07388 497089 between 10am - 4pm (Mon - Fri), if we cannot answer please leave a message if you are happy for us to call you back.

If you require a copy of this form in a different format, please contact us.

Parent/Carer Name

First Name

Last Name

Phone

(###)

###

####

Address

Key Info

Child's Name

First Name

Last Name

Date of birth

YYYY

Address (if different to parent/carer above)

Gender and pronouns

Ethnicity

Man language spoken

Child's school and address

Main school contact

Does your child have an EHCP?

Yes

If yes, please describe your child's needs

Is your child eligible for pupil premium?

Yes

Not sure

Is your child eligible for free school meals?

Yes

Not sure

Are you accessing any other services?

Support Needs

We’d like to know as much about the reason you’re getting in touch with us as you’re comfortable sharing here. Please know you’re also welcome to call us, email us any other forms where it might be written down, or put “call back” in the box below and we’ll reach out for a conversation.

Has your family accessed any support in the past?

Please can you tell us about your child's strenghts and any activities they might enjoy doing?

Consent

Before submitting this form, please ensure that you have read and agree to Cambridge Acorn Project’s Terms of Service (available at the bottom of this page)

By ticking yes and submitting this enquiry your are confirming that you have parental responsibility and: • This form contains accurate information. • You consent to Cambridge Acorn Project delivering services in response to your enquiry. • You agree to Cambridge Acorn Project’s Terms of Service If you do not agree, please do not submit this form.

Yes, I consent

Please type your name

Click here for Cambridge Acorn Project’s Terms of Service