About us
Spectrum Community Health CIC provides quality healthcare for people in vulnerable circumstances.
Our social value
As a not-for-profit social business, we are committed to addressing health inequalities and investing in the health and wellbeing of the communities we serve.
Our services
We work in partnership to provide primary care, substance misuse and sexual health services, in the community and in secure environments including prisons, hospitals and immigration centres.
Our patients
Our patients are at the heart of everything we do. Through co-production, we work together to continually improve our services and patient experience.
Our people
Our people are key to our success. As an employer of choice, we employ highly skilled, passionate professionals and offer excellent benefits and opportunities.
Find out more
Want to know more about Spectrum? Use this section to check out our news and campaigns, or to get in touch with us.

About us
Spectrum Community Health CIC provides quality healthcare for people in vulnerable circumstances.
Our social value
As a not-for-profit social business, we are committed to addressing health inequalities and investing in the health and wellbeing of the communities we serve.
Our services
We work in partnership to provide primary care, substance misuse and sexual health services, in the community and in secure environments including prisons, hospitals and immigration centres.
Our patients
Our patients are at the heart of everything we do. Through co-production, we work together to continually improve our services and patient experience.
Our people
Our people are key to our success. As an employer of choice, we employ highly skilled, passionate professionals and offer excellent benefits and opportunities.
Find out more
Want to know more about Spectrum? Use this section to check out our news and campaigns, or to get in touch with us.

Home >Our social value >Dolly Parton Imagination Library >Dolly Parton Imagination Library registration form

Dolly Parton Imagination Library registration form

* indicates required fields

Child's full name*

First Last

Child's date of birth*

DD slash MM slash YYYY

Child's gender*

Parent / Guardian name*

First Last

Address

Street Address Address Line 2 City County Postcode

Parent / Guardian email*

Parent / Guardian phone number*

How did you hear about the Dolly Parton Imagination Library*

Your data

Any personal information you provide to Spectrum Community Health CIC give us will be processed in accordance with GDPR. The information you provided will only be used for the purposes specified on this form. We will not use these details for any other purpose.

Consent Wakefield Council Educational and Public Health services*

I consent that the details I have provided can be shared with Wakefield Council Educational and Public Health services and local schools, to help measure how well the Imagination Library is working. I understand that Wakefield Council or Spectrum Community Health CIC may contact me about the Imagination Library. This may be by post, phone or email. I understand that I can withdraw or amend my consent to the above at any time by contacting Spectrum Community Health CIC on 01924 311400 or by email to imagination.library@spectrum-cic.nhs.uk*

Consent Dollywood Foundation*

I consent to allow Dollywood Foundation Inc (based in the USA) to use the information provided herein for the purposes of participating in Dolly Parton’s Imagination Library book gifting programme. To measure the benefits of this programme, they may create datasets with the information provided herein and share them with research and educational advancement partners.*

Consent Spectrum Health*

I confirm that I have read the above statement and the relevant privacy and cookies notices, and agree to the conditions outlined.*

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