fbpx Youth Club Application Form - Learning Disability Charity - Leeds Mencap

Youth Club application form

To apply for a place at Leeds Mencap 9-13’s or 14-18’s Youth Club you need to fill in this form.

Please complete the form as thoroughly as possible to ensure we can put the right support in place for your child before they attend Youth Club. If you need help filling in this form please contact us on 0113 2351331

If your child has medical needs or significant challenging behaviour please contact the Activities Coordinator on 0113 2351331 to discuss this further.

If the Youth Club you are applying for is currently full you will be placed on a waiting list and contacted when a place becomes available.

Step 1 of 15

Childs Details:

Date of birth:
Does your child have an Education Health Care Plan (EHCP)?
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