• NCW, Whittington Road, Worcester, WR5 2JX
Inspiring, nurturing and empowering young people with a vision impairment.

Preparing for Adulthood Registration

Preparing for Adulthood Form

"*" indicates required fields

Your Name*
Your Address
Address of Young Person with VI
Mailing List

Details of child with vision impairment

Name of child*
DD slash MM slash YYYY
Print format

Extra Information - which areas are you interested in?

Skills Areas

Medical Overview

All information will be treated with the strictest confidence, shared only with NCW medical and care staff where necessary to ensure the wellbeing of the child.

Registered
For safeguarding reasons it is essential that we are aware of any other medial issues, including mental health related issues – so that we can make any necessary arrangements to ensure that your child has the best possible experience with us.

Details of any issues around mental health and well being

We require this information in order to be able to undertake an appropriate risk assessment.

Additional difficulties, medical conditions or special aids?

Personal information related to activities

All information will be treated with the strictest confidence, shared only with NCW medical and care staff where necessary to ensure the wellbeing of the child.

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