0114 220 3716 | 0788 5991557 enquiries@chimpmanagement.com

Forms

16-18 Years Screening Forms

If you are 16 to 18 years old, please complete the following forms:

Client Screening Form

GP Details Form

Client Consent Form

While no responsible adult is required to be present during your sessions, we still require the consent of one parent/guardian/caregiver for you to take part. We therefore also ask for one parent/guardian/caregiver to sign our Parent & Guardian Consent Form (16-18 Years Old).

Under 16s Screening Forms

If you are under 16 years old, please complete the following forms:

Client Screening Form

GP Details Form

We also require two parents/guardians/caregivers to provide their consent for you to take part in sessions by signing ourĀ Parent & Guardian Consent Form (Under 16s).

If you would prefer to take sessions without a responsible adult present, your mentor will assess whether you are Gillick competent.

Gillick competence is the UK term used to describe the ability of a child or young person to make their own decisions, taking into account their emotional maturity and intelligence.

If your mentor deems you to be Gillick competent and able to consent to taking sessions on your own, you and your mentor will later sign our Under 16s Consent Form (Declaration of Gillick Competence).