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Need to Refer a Child
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Referrers Details
*
First
Last
Declaration & Guardian
Email
*
Phone no.
Child's Details
*
First
Last
Parent / Guardian Contact Details
Location
*
--- Select Choice ---
Uk
Jamaica
Age
Comment
*
Consent & Declaration
*
I confirm that I have spoken with the parent / legal guardian, and consent for this referral has been obtained. I understand and agree that this consent includes permission for Da Bright Lifestyle (DBL) to contact the parent/carrer and/or the young person to arrange a visit or meeting.
Parental or legal guardian consent is required for all referrals involving children under the age of 15. Consent must be obtained prior to submitting this referral.
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