Children & Young People ’Natural Alternative’ Enquiry Form

Please complete the form below for each child or young person you are wishing to refer to our Natural Alternative provision and one of our team will be in touch with the next steps.

Which of our beautiful locations would your student/s prefer to attend (dependent on availability) (required)

Frithy Wood- Lawshall - IP29 4QUCastan Wood - Martlesham - IP5 3QNRSPB Strumpshaw Fen - NR13 4HSNational Trust Blickling - NR11 6NFNational Trust Oxburgh - PE33 9PSRSPB Minsmere - IP17 3BYYour own site (dependant on capacity)

Child / Young Persons full name (required)

Age of child/young person (required)

School Year (required)

Is the child/young person currently in education?

Type of schooling CYP currently receives (required)

if other - please give details

Child/Young Person’s current Engagement with schooling?

How will the place be funded? (required)

If other, please give details

Referrer name & organisation (required)

Referrer email address (required)

Referrer phone number (required)

Referrers preferred method of contact (required)

Does the CYP have 1:1support in their current setting (required)

Will the CYP be attending with 1:1 support provided by their current provision? (required)

if yes, at what ratio is this at e.g. 1:1, 2:1.

Would you be interested in Green Light Trust providing 1:1 support (at additional cost and depending on availability)? (required)

Please provide a brief summary of reason for referral and what objectives you would like to see met from attending (required)

How will the child/young person access the provision? e.g - taxi, parent. (required)

Send