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1. Name of setting/organisation *
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2. Type of provision (please tick all that apply) *
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3. Size of setting *
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6. Name and position of colleague in charge *
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8. Designated Safeguarding Lead (DSL) *
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9. Email address of Designated Safeguarding Lead *
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10. Mailing list consent *
11. Are you affiliated with another organisation? (Eg. National charity/National organisation/diocese).
If yes, please specify.
12. Do you provide services to any other local organisations? (eg. schools)
13. Are you registered with and/or regulated by:
14. Is your setting overseen by any safeguarding governance? If so, please provide details below.
What Safeguarding support would you like from the Local Authority?