'Have a Go' Weekend Booking Form

Saturday 10th and Sunday 11th February 2024

The Royal National College for the Blind (RNC)
Venns Lane, Hereford HR1 1DT

Click here to read more information about the event.

If you need any help completing this form, please contact the Student Enquiries Team on 01432 376 621 or email info@rnc.ac.uk

The RNC Have a Go weekend is a free event for young people aged 13 to 17 years.

The weekend runs from 11am on Saturday and finishes at approximately 3pm Sunday. It involves one overnight stay in free accommodation for the young person and any accompanying adults.

We would expect the young person to be accompanied by one responsible adult. Additional adults are welcome, as are siblings.

We find that young people have a great time, enjoy getting to know each other and making new friends. Their programme is completely separate from that of the accompanying adults, which gives the latter an enjoyable break and the young people a taste of independence.

The Adults Programme involves several useful Information and advice sessions, and adults are free to enjoy their spare time, maybe exploring Hereford city centre.

All attendees are provided with Saturday lunch, an evening meal on Saturday evening with breakfast and lunch on Sunday.

The young people’s programme often includes an off-campus activity, whilst the adults remain on the College grounds.

Our experienced support team will make sure the young people are kept safe and entertained throughout their stay.

Young Person Details

Young Person Forename & Surname * Required

Young Person Known as * Required

Young Person Home Address (including postcode) * Required

Young Person Date of Birth * Required

Accompanying Adult Details

Accompanying Adult Forename & Surname * Required

Accompanying Adult Known as * Required

Accompanying Adult Relationship to Young Person * Required

Accompanying Adult Home Address (including postcode) * Required

Accompanying Adult Email Address * Required

Accompanying Adult Phone Number * Required

Additional Accompanying Adult (if applicable)

Additional Accompanying Adult Forename & Surname

Additional Accompanying Adult Known as

Additional Accompanying Adult Relationship to Young Person

Additional Accompanying Adult Home Address (including postcode)

Additional Accompanying Adult Email Address

Additional Accompanying Adult Phone Number

Accompanying Siblings (if applicable)

Sibling 1 Known as

Sibling 1 Age

Sibling 2 Known as

Sibling 2 Age

Young Person Visual Impairment Information

Is the young person registered blind or partially sighted? * Required

Registered Blind

Partially Sighted

Any additional details?

What eye condition(s) does the young person have? * Required

How does this affect the young person? * Required

Does the young person use any mobility aid? e.g. long cane or guide dog.

What is the young person's preferred reading format (e.g. standard print, large print, braille, audio)? This is so young people can have access to materials in their chosen format. * Required

Young Person Medical Information

Are there any additional medical conditions, illnesses, injures or allergies the young person has that you think we need to be made aware of?

Please list any medication prescribed which the young person will need take during the weekend.

Is the young person able to self-medicate?

Yes

Is the young person a wheelchair user?

If no, what assistance is required?

Please provide any information that you think may be relevant.

Other Attendees Visual Impairment Information

Does anyone else attending have any visual impairments? (i.e. Does the Accompanying Adult require adapted material resources, use mobility aids or assistance in navigating?)

Additional Information

Does the young person, you or anyone else attending have any special dietary requirements?

If the young person is currently in education, what is the name and location of their school or college?

Are you a member of any VI Organisations? If yes, please list them:

Does the young person have an EHCP or statement? If so, what local authority do they come under and when is their next annual review? * Required

If travelling by car, please write the vehicle’s registration number:

What are the young person's hobbies and interests?

How did you hear about the 'Have a Go' weekend?

Parental Consent for Medical Attention

I give consent for my child to receive medical attention. * Required

Yes

Consent Full Name * Required

Date * Required

In the event that any young person is injured during any activities, and their parent / guardian cannot be contacted, medical treatment may need to be administered.

Parental Consent for Photography

During the weekend, RNC may be taking photographs and video footage which may be used for promotional literature, including prospectus, website and social media.

I am happy for my child to be filmed and photographed. * Required

Yes

Date * Required

Consent Full Name * Required

Please note that by completing this form your details will be held on our student record system and will be used for the purpose of administration, guidance and monitoring. As part of administration process we will send you information and communication relating to your application and admission. Please see our Privacy Policy on our website www.rnc.ac.uk/privacy-policy.