Dolly Parton Imagination Library registration form

* indicates required fields

Child's full name*
DD slash MM slash YYYY
Parent / Guardian name*
Address
Are you a Wakefield District Housing tenant?*

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.