Sefton No Limits Challenge Award - Nomination Form
Important Notes
Applications
must
be submitted by Friday, 20th March 2020.
All information supplied in this form is strictly confidential.
All sections of the form must be fully complete before submission.
IT IS VITAL THAT ALL CHILDREN AND YOUNG PEOPLE WHO ARE NOMINATED ARE ABLE TO ATTEND THE EVENT. PLEASE TICK THE BOX TO CONFIRM THAT YOU HAVE DISCUSSED THIS WITH THE CHILD / YOUNG PERSON, CARERS AND SOCIAL WORKER AND THAT THE YOUNG PERSON IS ABLE TO ATTEND THE CEREMONY ON FRIDAY 1st MAY 2020.
Yes
No
Don't know
Name of Child:
*
Address:
Address Line 1
*
Address Line 2
Town / City
*
County
Postcode
DOB:
*
This indicates mandatory fields