Active Leader Course St Thomas More School Autumn 2026 Participant Registration Form

Welcome to the registration form for the Active Leader Course at St Thomas More School. Please complete all sections marked with an asterisk, to ensure we have accurate contact information for you. Sections which do not have an asterisk are optional. Any contact with you from Active Leaders will always be copied to the parent/carer/guardian’s email you provide.

Course Code *

Participant First Name *

Participant Last Name *

Participant Date of Birth *

Name you wish to be known by *

Preferred pronoun *We are asking for your preferred pronoun for the purposes of helping us address you correctly.

Pronoun to be used *Please enter the pronoun to be used.

Ethnicity *

Participant School Email Address *

Participant Non-School Email Address

Participant PhonePreferably Mobile Phone Number

Name of School *

Year Group *Scroll down for more options

Tee shirt size *

Participant Home Address *

Address Line 2

City *

County *

Post Code *

Parent/Guardian/Carer Name *

Parent/Guardian/Carer Email Address *

Parent/Guardian/Carer Phone *Preferably Mobile Phone Number

Access Requirements? *Please select 'Yes' if there is any important access information that we should be aware of, eg Wheelchair, hearing, sight, special learning needs (ADHD, Dyslexia, etc.). You will then be able to provide additional information.

Access Requirements *Please detail any access requirements, eg wheelchair, vision impairment, dyslexia, etc. so that our staff can make accommodations.

Medical Issue? *Please select 'Yes' if there is any important medical information that we should be aware of (eg epilespsy, asthma, diabetes, ADHD, dyslexia, and all food or medicine allergies etc.). You will then be able to provide additional information.

Medical Information *Please detail any important medical information that our staff should be aware of (eg epilespsy, asthma, diabetes, ADHD, dyslexia, and all food or medicine allergies etc.) and details of any medication prescribed.

Parent/guardian/carer permission *YesBy ticking this box I confirm that I have the permission of the parent/guardian/carer shown on this form, to participate in the Active Leader Course.

Permission to use Photographs and Videos *YesNoWe may wish to take photographs and/or videos of students during the Active Leader Course, which may feature the student named on this form. Please select 'Yes' to confirm that you and the parent/guardian/carer shown on this form grant us permission to use photographs and/or videos of you, your name and spoken words in accordance with the terms of use of the Active Leader privacy policy which can be found by clicking on ‘Our Privacy Policy’ at the bottom of this page.

Data Protection *YesBy checking this box you confirm that we may contact you and your parent/guardian/carer and emergency contacts using the contact details you have provided and that we may hold this information in accordance with our Privacy Policy. The information on this form will also be shared with your school.

Thank you for registering for this course. Once registered, you will receive a confirmation e-mail, as will your parent/guardian/carer named on this form.

Active Leader Course

St Thomas More School, Autumn 2026

Participant Registration Form