Parenting Booking RequestIf you are referring someone please click here for the correct form. This is for parents/carers only.Please complete the following form to request a place on the Parenting session you would like to attend.Step 1 of 616%Personal InformationTitle*MissMrMrsMsName* First Last Date of Birth* Date Format: DD dash MM dash YYYY Address* Street Address Address Line 2 City Post Code Contact Number*Email* Preferred Method of Contact*- Select -TelephoneEmail Diversity InformationEthnicity*- Select -White BritishWhite IrishWhite EuropeanWhite OtherMixed Heritage White & Black CaribbeanMixed Heritage White & Black AfricanMixed Heritage OtherBlack BritishBlack CaribbeanBlack AfricanBlack OtherAsian BritishAsian IndianAsian PakistaniAsian BangladeshiAsian OtherChineseOtherIf other please state*Level of English*- Select -Not SpokenBasicFluentLanguage Spoken*Additional NeedsDo you have any additional needs? Will a second parent/carer be attending?*- Select -YesNoSecond Parent/CarerName of Second Parent/Carer* First Last Date of Birth* Date Format: DD dash MM dash YYYY Contact Number of Second Parent/Carer*Ethnicity of Second Parent/Carer*- Select -White BritishWhite IrishWhite EuropeanWhite OtherMixed Heritage White & Black CaribbeanMixed Heritage White & Black AfricanMixed Heritage OtherBlack BritishBlack CaribbeanBlack AfricanBlack OtherAsian BritishAsian IndianAsian PakistaniAsian BangladeshiAsian OtherChineseOtherLevel of English*- Select -Not SpokenBasicFluentAdditional NeedsDo you have any additional needs? Children InformationHow many children 16 or under do you have?Child Name(s)* Age(s) of child/children*Do any of the children have additional needs / SEN?*- Select -YesNoIf yes please state*Are you known to Social Care or have been known within the past six months?*- Select -YesNo Service(s) RequiredParenting Workshops Requested Parents Protect Toileting Positive Parenting Seminar Wonderful Baby, Wonderful You 0-9 Months Wonderful Baby, Wonderful You 9-18 Months Early Communication WorkshopParenting Discussion Groups Requested Disobedience Fighting and aggression Shopping with children BedtimeParenting Groups Requested Group (18 months - 12 years) Stepping Stones (18 months - 11 years) Teen Group (12 years - 16 years)Have you seen a particular group you wish to attend?If you have seen a group which you would like to attend as a priority please state the date and location. Final ConfirmationWhere did you hear about the Triple P parenting services?*Do you consent to our Fair Processing Statement?*- Select -YesNoFair Processing Statement: How the council collects and processes your personal information. Data Protection Information The Data Controller is the London Borough of Newham and we are responsible for the collection and processing of your personal information. Processing includes the organisation, retrieval, consultation, use and deletion or destruction of information and its disclosure to other agencies. The information you provide will be processed mainly in connection with the administration of The Early Start Parenting Team. Your personal information may however be processed by other Council services where appropriate to facilitate the provision of services in respect of any of the Council's activities, including family and education support services. All information collected will be processed and held securely under the principles of GDPR.GDPR Consent* I have read and agree to the terms and conditions and privacy notice*Email Sign Up*YesNoI agree that Early Start Group Ltd can send me emails regarding up coming events, promotions and news. Your information will never be shared with 3rd party providers.