Registration
Child/Young Person Details
First Name
*
Surname
*
Date of Birth
*
Gender
*
Male
Female
Neutral
NHS Number
*
Parent/Carer Details
Name
*
Relationship
*
Mother
Father
Other
If Other
Country
*
Email
*
You will need to verify your email before login.
Mobile Number
*
You will need to verify your mobile before login.
Address Details
Post Code
*
FIND ADDRESS
Select Address
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House name/number
*
Address
*
Town/City
*
Security Details
Password
*
Confirm Password
*
Minimum 8 characters.
Minimum of one upper and lower case alphabet.
Minimum of one numeric and a symbol.
By registering I am agreeing to the
Terms of service
&
Privacy policy
*
I can confirm that I have the parental responsibility to create this account for the child
*
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