This is an application form for a tailored one-to-one Kindfulmind session with your child.

Please see our events and course section to make applications for other courses and workshops.

About the applicant

Your relationship to the child

About the Child

You wish to make an application for kindfulmind services on behalf of a minor. To help kindfulmind processs your application please complete all of the following details.

Please check the box if your child has any known or pre-existing medical, emotional or behavioral needs.
Please describe in as much detail as possible any known medical, emotional or behavioral needs, including any existing or prior treatments.
Preferred learning methods

To help Kindfulmind to prepate content to best suit your child's mode of learning, please select one of the following options.

Policy agreements

Privacy Policy

Kindfulmind is committed to processing data in accordance with its responsibilities under the General Data Protection Regulation 2018 (GDPR).

Article 5 of the GDPR requires that personal data shall be:

• Processed lawfully, fairly and in a transparent manner in relation to individuals

• Collected for specified, explicit and legitimate purposes and not further processed in a manner that is incompatible with those purposes; further processing for archiving purposes in the public interest, scientific or historical research purposes or statistical purposes shall not be incompatible with the initial purposes

• Adequate, relevant and limited to what is necessary in relation to the purposes for which they are processed

• Accurate and, where necessary, kept up to date; every reasonable step must be taken to ensure that personal data that is inaccurate, having regard to the purposes for which they are processed, are erased or rectified without delay

• Kept in a form which permits identification of data subjects for no longer than is necessary for the purposes for which the personal data are processed

• Personal data may be stored for longer periods insofar as the personal data will be processed solely for archiving purposes in the public interest, scientific or historical research purposes or statistical purposes subject to implementation of the appropriate technical and organisational measures required by the GDPR to safeguard the rights and freedoms of individuals

• Processed in a manner that ensures appropriate security of the personal data, including protection against unauthorised or unlawful processing and against accidental loss, destruction or damage, using appropriate technical or organisational measures

Please note: Ellie from Kindfulmind is fully insured and checked by DBS. Further details and evidence available on request.

Child Protection Policy

What Kindfulmind will do if we have concerns about a child or young person:

In almost all circumstances, we will talk to a child’s parents about any concerns and tell you if these concerns need referral to children’s social care. We will ask your consent to make a referral, but in some circumstances, we may need to make a referral against your wishes. We will only do this if we genuinely believe this is the best way to protect your child.

If we think talking to parents first might in some way increase the risk to the child, we will report our concerns to children’s social care and take advice from them. We will tell the parent that a referral is being made and record this.

Child protection is a very sensitive issue and it raises many questions and a range of strong emotions. Kindfulmind will do everything we can to support the children in our sessions and you can be rest assured that any action we take will always be in the best interests of the child.

Please tick the box to say you have read and agree with the child protection and data poicy