Register your family

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County from URL

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Venue from URL

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Meeting from URL

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Consent

Please read the Information for participants and Consent pages on this web site before confirming your consent by ticking each check box.

Safety(Required)

Maturity
I am 18 years or older and am competent to provide consent.

Child protection
I declare that I am the parent/legal guardian responsible for all children I identify in this form and understand that it is my responsibility to be ever-present and to take care of such children throughout any online or in-person activity that the family takes part in.

Health
I understand that if I or anyone in my family has a history of epilepsy then I am proceeding at my own risk.

Data(Required)

Data protection
I agree to OurKidsCode anonymizing and storing all information that is collected by the project in accordance with General Data Protection Regulation. I agree to the processing of such data for purposes connected with the project as outlined in the Information sheet for participants.

Confidentiality
I understand all my and my family’s data will be treated with full confidentiality and stored securely so that, in the event that any is published, my data will not be identified as mine, nor will any member of my family be identified.

Choice
When completing a survey, I and my family can omit questions we do not wish to answer or simply quit the survey.

Conduct(Required)

Withdrawal
I understand that my and my family’s participation is voluntary, and we may withdraw at any time and for any reason without penalty.

Legality
I understand that in the extremely unlikely event that illicit activity is reported during the study, the project team will be obliged to report it to appropriate authorities.

Informed
I have read and understood the ‘Consent’ and ‘Information for participants’ pages on this web site.

About you

Email(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 Town County Eircode

Phone(Required)

Agreement to contact you(Required)

In order to participate, we need your agreeement to be able to contact you by email and phone.

I am happy to be contacted by email and phone

About your family

The focus of our workshops is on primary aged children, so please identify those in the following questions about each child. Nevertheless, others are welcome to take part. Remember you must be the parent/legal guardian for all children you name.

How many children will take part?(Required)

Our experience tell us that three children to one parent works well for our workshops. If your needs are different, please contact us.

Please enter a number from 1 to 5.

Child 1 name(Required)

First Last

Child 1 age(Required)

Child 1 gender(Required)

Female

Male

Prefer not to say

Child 2 name(Required)

First Last

Child 2 age(Required)

Child 2 gender(Required)

Female

Male

Prefer not to say

Child 3 name(Required)

First Last

Child 3 age(Required)

Child 3 gender(Required)

Female

Male

Prefer not to say

Child 4 name(Required)

First Last

Child 4 age(Required)

Child 4 gender(Required)

Female

Male

Prefer not to say

Child 5 name(Required)

First Last

Child 5 age(Required)

Child 5 gender(Required)

Female

Male

Prefer not to say

Your relationship to the children(Required)

You must be the legal guardian for all children named above.

Primary School name and address

Primary School roll number

You can normally find this on the school’s web site or by searching on www.gov.ie/en/service/find-a-school It is usually a six-figure number, sometimes followed by a letter.

Name

This field is for validation purposes and should be left unchanged.

Registration form to take part in OurKidsCode

Consent

About you

About your family