Registration Form for Buddies

Buddies Day Care Service

Hartley House, 35 High Street, Chipping Sodbury, Bristol, BS37 6BA 5 & 6 Badminton Court, Station Road, Yate, Bristol, BS37 5HZ

Buddies is a Day Service for adults with conditions such as, but not limited to, a Learning Disability, Chromosomal Deletion Syndromes, Autism / Asperger's, Mental Health Diagnosis, Sensory Impairment, Acquired Brain Injury. We provide an environment where people can build new friendships and relationships, a fun and entertaining place to spend the day, where everyone who attends can feel safe, supported, and enjoy activities tailored to their needs. Our strap line is "Our Place, Our Space. Buddies is not so much an organisation, but the people who attend make our place, their place, Buddies.

Child Details Parental Responsibility Emergency Contacts Medical Info Other Consents Terms of Service

Applicant's first name: *

Gender: *

Male

Female

D.O.B: *

Applicant's surname: *

Buddies preferred name: This may be your full name or a version / identification you have.

Age:

Home Address: *

18 Chatterton Road

Responsible adult care worker / social worker: Name, telephone, team

Service users Gender preference for personal care: To protect the dignity of the S.U. and respect their needs and wishes, they may, or may not, prefer same sex staff to support them with personal care

None

Gender identification: When we use pronouns like “she” or “he” to identify a person without asking them what pronouns they use, we may be making an assumption about that person’s gender that differs from their gender identity. Some people express their gender in a non-binary way and use pronouns such as they/them or ze/hir/hirs. People who look to be one gender to you may identify as another gender.

Callum is happy to be refered to as he, him, his etc.

About me and my views: What people like and admire about me, What's important to me, How best to support me.

Updated 16/07/2024  -  Sarah Perkins - Mother

Sarah expressed Mikey is at an age where he likes to engage in further activities without the support of his Dad, and begin to build on his independence in doing so, especially when he is not in College. As stated, Sarah was in agreement that Mikey has really enjoyed going to his Day Provision. Sarah is also pleased with the new identified provisions within Mikey’s EHCP starting in September. Sarah has continued to note that outside of education, Mikey does not have opportunities to socialise independently, so she feels that the PA/Day Service and 1:1 support is really important. Sarah advised this is because Mikey needs things to stimulate him and do things – he needs to be out/active and social. Sarah and Jason advised that Mikey has really been building on his independence e.g. personal care and is trying hard.

He will not accept he has epilepsy at all. Mikey resists most suggestions to improve his level of independence.
His communication skills in a group situation are still poor - he speaks quietly, says random things when others are not listening and struggles if he is not with people who know him well. This does very much hamper his road to independence as if he cannot communicate clearly with people he does not know well then his progress is limited and he still relies heavily on family and friends to help him. At home he will say food is too hot and sit for up to an hour or more before food is at an OK temperature to eat. His reluctance to repeat foods continues and even with meal planning this is difficult. He has also been found to be low in vitamin D which is being addressed with a supplement.

He continues to struggle with muscular pain despite the increase in his physical activity in the last year. He is very controlling and restrictive. We still struggle if food has green in it and the repeating of foods during the week.

Avoidant/restrictive food intake disorder (ARFID) is previously known as feeding disorder or selective eating disorder. Someone with ARFID avoids eating certain foods, limits how much they eat, or does both. When a person develops ARFID, they are less worried about their body weight or shape and develop the eating disorder for other reasons, which include: a dislike of the smell, texture or taste of certain foods. feeling anxious following a negative experience with food, for example choking or sickness. previous fussiness with eating which develops into a more severe dislike of certain foods. a lack of interest in food and not feeling hungry. ARFID is more common in children with learning difficulties, attention deficit hyperactivity disorder (ADHD) and autism spectrum condition (ASC).

Carer's views: If this is a comissioned service, you may already have had your views recorded but it would be beneficial for Buddies to have this directly from you here.

Mikey lives in the family home with his Mum, Dad, and younger sister, Lucy.

Mikey is under Neurology - Southmead for his Epilepsy. He has medication twice daily – this is Carmazapene, and Levetiracetam (an add-on therapy with other seizure medicines). Mikey also has emergency Buccal Midazolam, but they have never had to use this. Advice was sought from ALDHS as part of this review, to be clear on this, as Mikey has always had involvement from PA’s who the family have arranged training for, and we are now exploring Commissioned Services. Due to being prescribed Buccal Midazolam as a rescue medication for prolonged seizures, this would be a medical emergency they would recommend Mikey has to have someone with him who would be able to administer the medication if required. ALDHS have confirmed that the plan is applicable to cover travel as he could have a seizure while in transport. ALDHS advised it is common for support workers to be trained in Buccal Midazolam and drive cars so there does not need to be a second colleague. Sarah explained the history of Mikey’s seizures – they have mainly been in bed, he has only had one outside of the home. Prior to medication/management Mikey was having Seizures and/or absences daily, but now it may be 1 every 2 months. Mikey has a epilepsy alarm mattress. 

Mikey has undergone genetic tests due to his Kyphosis - an abnormality of the spine causing excessive curvature of the upper back. This causes pain and stiffness, but nothing was identified. Mikey has had 2 major spinal surgeries. He now has an open appointment with Orthopaedics. Noted Medication is correct as at time of assessment and could be subject to change. Sarah manages Mikey’s medication to ensure that he takes this. He takes liquid medication, however he does not have the dexterity to use a syringe so he is supported to take the medication too. Mikey also has paracetamol and ibuprofen. Mikey relies on others to identify when he is unwell and is supported appropriately by them to feel better. Mikey can tell someone that he is in pain – e.g. if he hurts himself. If a medical appointment is required, Sarah will ensure that these are made, and supports Mikey to attend and ensure that he is understood and his needs are expressed. Mikey has annual health checks, where he is supported by Sarah.

Mikey experiences anxiety, and Sarah has stressed the fact he experiences it daily. This appears to be attribute to his Autism. Reasons for heightened anxiety for Mikey may be; new situations, change, new people, if clothes not on properly or if he does not want to do something. 

Mikey wears glasses everyday due to being short sighted, his hearing is fine. Mikey has a good memory and specifically remembers dates and times well.

Mikey can talk and type to communicate with people. Mikey tends not to speak in full sentences and may be quiet when first meeting someone, as he can become anxious communicating with new people. Sarah advised that Mikey’s speech can be "garbled". Sarah advised therefore, that new people may not always understand what Mikey is saying and he will need to repeat himself. It was reported in his previous assessment, that even in instances where Mikey understands what is being said, he may look to a familiar face e.g. his Mum to repeat what is being said and/or to communicate via her. This is apparent during my involvement with Mikey - Sarah sometimes repeats questions asked and Mikey responded through her. However, during my work – at home visits, College visits, or via Teams/phone calls - Mikey has also verbally communicated and answered my questions directly. When communicating with Mikey, it is important that speech should be slow and clear, and sometimes, re-phrasing can help him understand better. Mikey has never used any communication aids such as pictures/photos and never wanted to use these or Makaton/visual aids. At this time, Mikey is happy for his Mum to be contacted on his behalf as the point of contact.

Mikey's mobility is varied when he is outdoors, especially on uneven surfaces. Mikey can struggle to walk long distances - this can take it out of him. When he is struggling, he can become slow and stiff when walking and when tired, he will start to drag his left leg due to having overly tight muscles. Mikey holds onto people for support when he is out, especially when it is busy or when crossing a road. Whilst Sarah believes he understands road safety, he does not go out unaccompanied as he would "freeze" if something unpredictable happened, as well as his Epilepsy and requiring support in an emergency.

Summary
In summary, Mikey continues to have identified care and support needs within most of the domains of The Care Act. At this time, a lot of his needs are met at home via family, or education provision, as well as existing social/day activity and his PA. Recently – it has been highlighted that finding a new PA has been difficult, but his family have managed to identify PA’s who can provide support during academic holidays. It was therefore previously agreed that PA support would remain in holidays, but Mikey’s identified Day Service Provision was to be in place weekly/ongoing. This been beneficial in working toward the same needs which previous weekly PA was focusing on - community/social opportunities, independence skills, meaningful activities. Mikey remains keen to go to this provision 1 x weekly, alongside his new Education Provisions. Mikey told me that he has friends there, and really enjoyed going and the activities that they do.

Therefore, Mikey now attends his social provision 1 x a week, and the Direct Payment support remains within the school holidays. For the purpose of this conversation/ updates – Day Service is now going to move to a commissioned service.

What support services are presently being accessed or provided: Please let us know of any services currently attended and any previous services. You may wish to add why these are not giving the full range of support and outcomes you would want or expect *

No previous placement, moved from college in summer.

Social Worker conversation: Outcomes

Miss Sophie Mortiboys, who likes to be known as Sophie lives with her Mother (Sarah), Step-Father (Dave), Sister (Chloe) and Brother (Dan). Sophie likes animals and owns pets including dogs, fish and a hamster. In her spare time she enjoys shopping, walking, doing yoga, and going swimming.

On Monday's Sophie volunteers at the Children's Hospice charity shop in Yate and has recently got a part time job in a local pub kitchen for 4 hours on a Saturday evening.

Sophie has a diagnosis of Autism. She was diagnosed in 2016. Sophie explained she felt relieved to be diagnosed as it helped her to make sense of her behaviors. Sophie completed her GCSE's through home schooling. She did attend school initially, however she found it hard socially. Sophie struggles with heightened anxiety and is particularly anxious in social situations, she has tried talking therapies and medication for this however not found it helpful.

Sophie is independent in many aspects of her life. She is able to cook simple meals and is independent with all personal care. Sophie is able to leave the house independently and frequently walks to the shops in Yate or goes on long walks with her dog. Sophie will sometimes get the bus to Bristol to go shopping.

Sophie gets PIP and ESA. She manages her money herself by using her bank card and online banking.

Local authority assessment: Copy of the details recorded by carers in assessment of needs

Lisa

Lead professionals views: Copy of lead professionals statement

Sophie would benefit from attending more social groups to support building her confidence around others. 

Sophie is very able and i am sure would manage well in a supported living environment with core support overnight and an element of 1:1 hours.

Buddies day service to increase to 1 day a week as a commissioned service wef 1st Feb 2024 Sophie to be added to the supported living list so any suitable vacancies can be discussed with her.
UPDATE:
Sophie has visited Empowering Futures Farm and she she would like to attend one day a week (Fridays). This will be set up as a direct payment.

The farm will support Sophie with her confidence through craft, cooking, animal husbandry activities and socialising/working with other young people.

Initial assessment of care needs:

Attends Pauls Place on Monday

Views of others (carers, other professionals, family): This should be a brief description of the type of person you are, the things you like to do, the people that are important to you. The next section will record your communication, medication, nutrition needs (including chewing and swallowing), personal hygiene support requirements, safety in the community, triggers that will cause an emotional reaction (not just challenging behaviour but situations that might frighten or result in emotional upset). Please record your own view of what you need to get the most out of Buddies Day Service. This could include the level of support needed, best interventions, communication support, what works well and what does not. *

Updated 16/07/2024
Mikey has a diagnosis of Autism, Learning Difficulties and Epilepsy, and speech and language issues. Mikey's learning difficulties were diagnosed at the age of 2, and his Autism was diagnosed when he was 15 by a Paediatrician.

Mikey is described as a friendly and smiley young man who likes to be sociable. Mikey said his Family, iPad, hanging out with friends, his cat Blackie, and his neighbours dog are important to him. Though, he does like gaming - Mikey likes XBOX and Board Games. Mikey also likes his iPad, and enjoys listening to music, watching YouTube, watching Formula 1 and darts. Mikey has a close relationship with all his family, and they enjoy spending time together. Mikey’s Father runs a group called “Nothing Special” which is for young people with additional needs.

Mikey has not been diagnosed with ARFID (avoidant/ restrictive food intake disorder) but Sarah advised that this has been discussed and considered as something Mikey may have. Mikey has had continued involvement as and when support has been required via ALDHS – he has also had music therapy.

Communication, sensory needs: How I communicate and how to communicate with me

Sam talks in shortened sentences and can find it stressful talking to people he does not know. This is helped by Sam having someone with him that he knows and trusts to support him to express his point of view without feeling self-conscious or like he has to respond in a certain way. Sam's level of anxiety can also be a barrier to him being able to communicate his needs effectively and after becoming anxious he may also find it hard to explain what has made him feel that way. When in the presence of people he is comfortable with, Sam finds it much easier to chat and likes to have conversations with others about things of interest to him.

Physical health and well-being: I am supported to stay well, and all my health needs are regularly looked at.

Sam is currently in good health. Sam has diagnoses of Learning Disability, Diplegic Cerebral Palsy, Delayed Fine and Gross Motor Skills and Epilepsy. Sam's epilepsy is currently well managed and he is prescribed PRN Buccal Midazolam which he ensures he always has with him. Sam has a
diagnosis of IBS and requires regular support to manage this. Sam is prescribed regular medication and is supported by his mum to take this.

Personal Care: I am supported with toileting, washing, drying and keeping myself clean and tidy

Sam is supported by his dad to complete his personal care routines. Sam requires support to shower, shave and complete his oral hygiene routines. Sam will usually have a shower in the evening before bed. Sam also requires regular support to assist him with managing his IBS and he often requires this support throughout the night.

Adults at risk: I am supported to stay safe from all forms of abuse

Sam currently lives at home with his mum, dad and sister. Sam's mum is his DWP appointee and supports Sam with manages his finances.

Hot Surfaces: I am supported around the kitchen and other areas where there are hot surfaces, to understand the risks and avoid harm

Eating & drinking: I am supported by staff who will help me manage size, consistency, chewing and swallowing. They will also assist me to drink at an appropriate time to reduce any risk of choking or aspiration.

Sam eats well and has a good appetite. Sam will often choose what he would like to eat and is then supported by his family to prepare himself something to eat. Sam enjoys taking part in cooking and said that it is a "messy job". Sam said that he is not fussy with his food.

Fire safety: I am supported by staff who will help me in the event of an emergency. I have a PEEP

Mental health: People understand my mental health condition and needs and help me to understand some of the noise in my head

Medication: I take my medication at the correct time

No support required, Sam takes all meds outside of Buddies hours.

Mobility, dexterity, slips, trips and falls: I am safe and secure when moving around in the centre and when out in the community. Staff are aware of my needs and ensure that I can move around without undue risk of hazards.

Sam understands the importance of keeping active and explained that he and his mum go into town and he uses a combination of walking with his wheeled walker and his wheelchair to make sure he is comfortable but also able to exercise. Sam uses a wheeled walker for walking in the community for short distances. Sam requires use of a wheelchair for longer distances. Sam is able to mobilise independently without any walking aids in the home. Sam also wears orthotic shoes to support with his mobility.

Manual Handling: Staff understand my needs around manual handling and are trained to assist me with dignity and respect and ensuring I am safe at all times.

Primary contact first name: *

Surname: *

Only enter your details here if you are either a parent or appointee responsible for funding: If not commissioned, invoices be sent to this person or Managed Account Provider (Penderel, WECIL, Paymentplus etc.) *

Address: *

108 Edgeworth
Yate

Contact number: *

Service users contact number: This is important in the event of a no show to check on the welfare of the service user

Email address: *

Service User Email address: General information relating to current activities and events are done via whatsapp.

Are there any other contact restrictions, times when you should not be contacted?:

Yes

Details of contact restrictions: We will only contact you during these times for general enquiries. In an emergency, we will call you immediately.

Deborah McCance

Secondary contact:

Surname:

Relationship:

Address:

88 badgeworth 
yate
bristol 
bs378yj

Contact number:

Work number:

Email address:

Is this a personal or professional relationship:

Guardianship/Appointee/Financial responsibility for the service user is with:

Primary contact

Secondary contact

Both (joint custody)

Other

Emergency contact is often the primary contact but where applicant is in a supported living service, the primary contact is often home manager or senior. Please add your details if you are the applicants parent or primary carer: In an emergency, paramedics will be contacted in the first instance. We will then endeavor to contact relevant people as listed here. *

Relationship:

Address:

108 Edgeworth
Yate

Mobile number:

Work number:

Emergency contact 2, if not parent/provider/appointee:

Relationship:

Address:

11 Minett Road, Ladden Garden Village, South Gloucestershire, BS37 7DX

Mobile number:

Work number:

Emergency contact 3, if not parent/provider/appointee:

Relationship:

Address:

26 Farley Close Little Stoke, Bristol, BS34 6HB

Mobile number:

Work Number:

I, hereby consent and grant permission to the following persons to collect the service user detailed here (Must be 18 years or over):

Joe Mitchell
Sophie Bell

GP Name:

GP Practice/Surgery address:

Courtside Surgery, Kennedy Way, Yate

Practice/Surgery phone Number:

Allergic reactions - Severity: *

Very high

High

Medium

Low

Allergies and/or medication', if any: Include name, dosage and frequency of medication

Medical conditions: Name condition(s) and actions required

Does the service user have any dietary requirements:

Yes

Please detail any special dietary requirements, medical, religious practice or ideological preference.:

Does the service user have any specific food and drink likes/dislikes:

doesn't like tuna tomatoes fish

Medication (Please list any medication the service user takes regularly and any drug interactions or food and drink to be avoided):

Omeprazole- 20mg daily 
Millinette contraceptive pill- 75mg daily 
Vitamin C 
Vitamin D

Additional information relating to diagnosed medical conditions: Buddies will record generic information from the NHS website of typical causes, traits and symptoms of your medical conditions for information purposes.

Addison's disease, also known as primary adrenal insufficiency or hypoadrenalism, is a rare disorder of the adrenal glands.
The adrenal glands are 2 small glands that sit on top of the kidneys. They produce 2 essential hormones: cortisol and aldosterone. The adrenal gland is damaged in Addison's disease, so it does not produce enough cortisol or aldosterone.

Symptoms of Addison's disease
Early-stage symptoms of Addison's disease are similar to other more common health conditions, such as clinical depression or flu. 
You may experience:
•	lack of energy or motivation (fatigue)
•	muscle weakness
•	low mood
•	loss of appetite and unintentional weight loss
•	increased thirst

Over time, these problems may become more severe and you may experience further symptoms, such as dizziness, fainting, cramps and exhaustion.
You may also develop small areas of darkened skin, or darkened lips or gums.
Although these symptoms are not always caused by Addison's disease, you should see a GP so they can be investigated.

Why it happens
Addison's disease is usually the result of a problem with the immune system, which causes it to attack the outer layer of the adrenal gland (the adrenal cortex), disrupting the production of the steroid hormones aldosterone and cortisol.

Treating Addison's disease
Addison's disease is treated with medicine to replace the missing hormones. You'll need to take it for the rest of your life.
With treatment, symptoms of Addison's disease can largely be controlled. Most people with the condition have a normal lifespan and are able to live an active life with few limitations. But many people with Addison's disease also find they must learn to manage bouts of fatigue, and there may be associated health conditions, such as diabetes or an underactive thyroid (hypothyroidism).

Adrenal crisis
People with Addison's disease must be constantly aware of the risk of a sudden worsening of symptoms, called an adrenal crisis.
This can happen when the levels of cortisol in your body fall significantly. An adrenal crisis is a medical emergency. If left untreated, it can be fatal.
If you or someone you know has Addison's disease and is experiencing severe symptoms, they will need a hydrocortisone injection immediately, either injected by themselves or by a person who is with them. Then call 999 for an ambulance, saying it's an "adrenal crisis" or "Addisonian crisis".



Crohn's disease is a lifelong condition where parts of the digestive system become inflamed.
It's one type of a condition called inflammatory bowel disease (IBD).

Symptoms of Crohn's disease
Crohn's disease affects people of all ages. The symptoms usually start in childhood or early adulthood.
The main symptoms are:
•	diarrhoea
•	stomach aches and cramps
•	blood in your poo
•	tiredness (fatigue)
•	weight loss

The symptoms may be constant or may come and go every few weeks or months. When they come back, it's called a flare-up.

Treatments for Crohn's disease
There's no cure for Crohn's disease, but treatment can help reduce or control your symptoms.
The main treatments are:
•	medicines to reduce inflammation in the digestive system – usually steroid tablets
•	medicines to stop the inflammation coming back – either tablets or injections
•	surgery to remove a small part of the digestive system – sometimes this may be a better treatment option than medicines

You'll usually have a team of health professionals helping you, possibly including a GP, a specialist nurse and specialist doctors.

Living with Crohn's disease
Living with Crohn's disease can be difficult at times. Unpredictable flare-ups and regular check-ups with your care team can disrupt school, work and your social life.
But if symptoms are well controlled, you can live a normal life with the condition.

Causes of Crohn's disease
The exact cause of Crohn's disease is unknown.
It's thought several things could play a role, including:
•	your genes – you're more likely to get it if a close family member has it
•	a problem with the immune system (the body's defence against infection) that causes it to attack the digestive system
•	smoking
•	a previous stomach bug
•	an abnormal balance of gut bacteria

There's no evidence to suggest a particular diet causes Crohn's disease.

Common symptoms
The main symptoms of Crohn's disease are:
•	diarrhoea – which may come on suddenly
•	stomach aches and cramps – most often in the lower-right part of your tummy
•	blood in your poo
•	tiredness (fatigue)
•	weight loss
You might not have all these symptoms.

Other symptoms
Some people with Crohn's disease also have:
•	a high temperature
•	feeling and being sick
•	joint pains
•	sore, red eyes
•	patches of painful, red and swollen skin – usually on the legs
•	mouth ulcers

Children with Crohn's disease may grow more slowly than usual.

There's currently no cure for Crohn's disease, but treatment can control or reduce the symptoms and help stop them coming back.
Medicines are the main treatments, but sometimes surgery may be needed.

Steroids
Most people with Crohn's disease need to take steroids (such as prednisolone) from time to time.
Steroid medicines:
•	can relieve symptoms by reducing inflammation in your digestive system – they usually start to work in a few days or weeks
•	are usually taken as tablets once a day – sometimes they're given as injections
•	may be needed for a couple of months – do not stop taking them without getting medical advice
•	can cause side effects like weight gain, indigestion, problems sleeping, an increased risk of infections and slower growth in children

Liquid diet
For children and young adults, a liquid diet (enteral nutrition) can also help reduce symptoms.
This involves having special drinks that contain all the nutrients you need, instead of your usual diet, for a few weeks.
It avoids the risk of slower growth that can happen with steroids.
Enteral nutrition has few side effects, but some people may feel sick or have diarrhoea or constipation while on the diet.

Immunosuppressants
Sometimes you might also need to take medicines called immunosuppressants to reduce the activity of your immune system.

Biological medicines
If other medicines are not helping, stronger medicines called biological medicines may be needed.
The biological medicines for Crohn's disease are adalimumab, infliximab, vedolizumab, ustekinumab and risankizumab.

Biological medicines:
•	can relieve symptoms if other medicines are not working
•	can be used as a long-term treatment to help stop symptoms coming back
•	are given by injection or a drip into a vein every 2 to 8 weeks
•	may be needed for several months or years
•	can cause side effects like increased risk of infections and a reaction to the medicine leading to itching, joint pain and a high temperature

Surgery
Your care team may recommend surgery if they think the benefits outweigh the risks or that medicines are unlikely to work.
Surgery can relieve your symptoms and help stop them coming back for a while, although they'll usually return eventually.
The main operation used is called a resection. This involves:
1.	Making small cuts in your tummy (keyhole surgery).
2.	Removing a small inflamed section of bowel.
3.	Stitching the healthy parts of bowel together.
It's usually done under general anaesthetic (while you're asleep).
You may be in hospital for about a week and it might take a few months to fully recover.
Sometimes you may need an ileostomy (where poo comes out into a bag attached to your tummy) for a few months to let your bowel recover before it's stitched back together.
You may need to take medicine after surgery to help prevent symptoms returning.

Treatment for specific conditions: This section contains important information relating to the treatment or management of specific conditions, such as Epilepsy, Addison's, Crohn's

Megan has absence seizures which can last up to 30 seconds but are usually shorter. If Megan has just begun what appears to be a seizure, staff should wait for 30 seconds to see if she comes out of it on her own. If not, then calling her name is usually all that is required to bring her round. 

Megan's epilepsy is well managed but is triggered by cold weather or if she is unwell. At times due to the nature of Megan's seizures, it can be hard to spot them. Due to the nature of her seizures, she does not carry any rescue medication.

If she does not respond as normal, call 999 and report that she is having a seizure and is not showing any signs of being alert or aware of where she is and what she is doing.

Please read our Terms & Conditions View T&C's

Any other instructions :

Early registration is recommended. Registrations will be considered in the order in which they are received. This form must be signed by the parent(s)/ guardian(s) with parental responsibility, guardianship, appointee ship, power of attorney; applying for admission of the service user and who it is assumed will be responsible for the fees. For more details, please visit our website: www.buddiesyate.org

Declaration :

I accept the terms and conditions of Buddies Adult Day Care Service

Yes No

Full Name of Parent/Carer:

Digital Signature

Debbie McCance

Date & time:

14, Mar 2022 12:13 pm

Child Details

Parental Responsibility

Emergency Contacts

Medical Info

Other Details

Consents

Terms of Service