Young People - Sign Up Form If you are a young person experiencing EBSNA and would like to take part in the Attend Well study, please complete the form below. If you are a parent/carer of a young person experiencing EBSNA, please make sure you complete this sign-up form.Please select which best applies to you:(Required) I am a young person aged between 11 and 18 I am the parent of a young person aged between 11 and 18 I'm not a young person or parent/carer How old are you?(Required)Thank you for your interest in the Attend Well study. This study is open only to young people aged 11 to 18, so you wouldn’t be able to take part this time. We really appreciate you taking the time to find out more. If you’d like to hear updates about this study or learn about other opportunities to contribute, you can sign up to our newsletter here: contact form.Thanks for your interest in taking part. This sign-up form is for young people aged 11 to 18 who are finding it difficult to attend school (emotionally based school non-attendance, EBSNA). If you’re a parent or carer of a young person aged 11 to 18 experiencing EBSNA, you’re welcome to sign up here: parent/carer survey.What is your first name?(Required)What is your date of birth?(Required)Where in the UK do you live?(Required)East MidlandsEast of EnglandLondonNorth EastNorth WestNorthern IrelandScotlandSouth EastSouth WestWalesWest MidlandsYorkshire and the HumberI don't live in the UKWhat is the first part of your postcode?(Required)For example: CB10, PE27, SG1. Please only enter the first part, not the full postcode.What is your email address?(Required) What is your parent's email address?(Required) What is your parent's name?(Required)What made you decide to take part in this study?(Required)You don't have to write a lot - just a few words is fine!This field is hidden when viewing the formWhat's you favourite thing to do after school?(Required)You don't have to write a lot - just a few words is fine!This field is hidden when viewing the formIP address(Required) What happens next? Once you click submit, our team will review your answers. If you're eligible to take part and your responses look genuine, we'll send you an email with a link to the consent form and the study questionnaires. If you're under 16, we'll first send an email to your parent or carer with their consent form. Once they've given permission, we'll send your link to the study questionnaires. If you have any questions, please contact us at attendwell@medschl.cam.ac.uk.
