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Breakaway expression of interest

Let us know you are interested in attending CLDF Breakaway by completing the form below.

A member of our young people’s team will then be in touch with you and your parents to discuss your application for the event further. Please note places are limited and a £30 deposit will be required.

Parent's Details

I confirm I have discussed this with my parent(s)/carer(s) and have their approval

Your Consultant's Details

I give my permission for you to contact my consultant to confirm I am physically and medically fit to take part in CLDF Breakaway

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We'll only contact you about the areas of our work you have chosen via the communications methods you tick below. What would you like to hear from us about and how?

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We'll always store your personal details securely. We'll use them to provide the service that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We won't sell your details to anyone else and we'll only share them with suppliers working on our behalf, or if required to do so by law. For full details please see our Privacy Policy. It's important that you read this policy to understand what information we hold, how we use it and what your rights are.