{"id":27324,"date":"2021-01-18T12:23:03","date_gmt":"2021-01-18T12:23:03","guid":{"rendered":"https:\/\/www.ocduk.org\/?page_id=27324"},"modified":"2025-12-09T14:41:37","modified_gmt":"2025-12-09T14:41:37","slug":"consent-form","status":"publish","type":"page","link":"https:\/\/www.ocduk.org\/support-groups\/online\/consent-form\/","title":{"rendered":"Young People 12-17 Support Group"},"content":{"rendered":"<div id=\"cs-content\" class=\"cs-content\"><div class=\"x-section e27324-e1 ml30-0 ml30-1\"><div class=\"x-row e27324-e2 ml30-2 ml30-4 ml30-5\"><div class=\"x-row-inner\"><div class=\"x-col e27324-e3 ml30-7 ml30-8\"><div class=\"x-text x-content e27324-e4 ml30-9 ml30-a ml30-b ml30-c ml30-d\"><i class=\"far fa-edit\"><\/i><\/div><div class=\"x-text x-text-headline e27324-e5 ml30-h\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h1 class=\"x-text-content-text-primary\">Under 18's (age 12-17) Online Support Group<\/h1>\n<\/div><\/div><\/div><div class=\"x-text x-content e27324-e6 ml30-9 ml30-a ml30-d ml30-e\">Hello, before we can sign you up to our forthcoming support group, we just need to capture a little information on the form below. Don't worry, this will only take two minutes and the data will only be used so that we can ensure participants well-being.<\/div><div class=\"x-text x-content e27324-e7 ml30-a ml30-c ml30-f ml30-g\"><p><i class=\"far fa-calendar-alt\"><\/i> &nbsp;&nbsp; <strong>Meeting Date<\/strong>:&nbsp; Thursday 15th January, 6pm<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"x-section e27324-e8 ml30-0\"><div class=\"x-row e27324-e9 ml30-2 ml30-3 ml30-4 ml30-6\"><div class=\"x-row-inner\"><div class=\"x-col e27324-e10 ml30-7\"><div class=\"x-text x-content e27324-e11 ml30-9 ml30-a ml30-c ml30-g\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_43' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_43'  action='\/wp-json\/wp\/v2\/pages\/27324#gf_43' data-formid='43' novalidate>\n        <div id='gf_progressbar_wrapper_43' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_43_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_43' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_43_1\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Before you can register for this support group, we need to get a little more information from you.<\/li><li id=\"field_43_2\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Participant Name<\/label><div class='gfield_description' id='gfield_description_43_2'>The person taking part in the support group? <\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_43_2'>\n                            \n                            <span id='input_43_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_43_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_2.3' id='input_43_2_3' value=''   aria-required='false'     \/>\n                                                <\/span>\n                            \n                            <span id='input_43_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_43_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_2.6' id='input_43_2_6' value=''   aria-required='false'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_43_9\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_43_9'>Participant Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_43_9'>The participant needs to be aged 12-17 to attend this meeting. Please confirm the participants date of birth<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_43_9' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_43_9_date_format gfield_description_43_9\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_43_9_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_43_9' class='gform_hidden' value='https:\/\/www.ocduk.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_43_11\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_43_11'>Participant Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_11' id='input_43_11' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_43_12' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_43_2' class='gform_page' data-js='page-field-id-12' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_43_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_43_15\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >In order to attend the support group, we will need parental\/guardian permission before doing so.<\/li><li id=\"field_43_10\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Parent \/ Guardian Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_43_10'>\n                            \n                            <span id='input_43_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_43_10_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_10.3' id='input_43_10_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_43_10_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_43_10_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_10.6' id='input_43_10_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_43_13\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_43_13'>Parent \/ Guardian Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_13' id='input_43_13' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_43_14\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_43_14'>Parent \/ Guardian Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_43_14' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Participant approves parental contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_43_25'>Please check this box to confirm the parent\/participant is happy for OCD-UK to reach out to the parent\/guardian should the charity feel it appropriate to do so.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_43_25'><li class='gchoice gchoice_43_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Participant consents to parental contact'  id='choice_43_25_1'   aria-describedby=\"gfield_description_43_25\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_43_25_1' id='label_43_25_1' class='gform-field-label gform-field-label--type-inline'>Participant consents to parental contact<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_43_18' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_43_18' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_43_3' class='gform_page' data-js='page-field-id-18' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_43_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_43_19\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><br\/><b>Online Safeguarding Consent<\/b>\n<p>In order for the participant to take part in the support group, we do need parent\/guardian consent to the following which have been designed to protect and ensure the well-being of your child during their involvement with the meeting<\/p><\/li><li id=\"field_43_27\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b>Participants (and parents\/carers) will: <\/b>\n<ul><li>Work in a way that makes everyone feel included <\/li>\n<li>not post anything that someone might find hurtful or inappropriate <\/li>\n<li>not take any recordings or pictures of the session unless agreed by all.  <\/li>\n<li>not post or include anything in view that may reveal where you or anyone in the session lives, goes to school\/work etc <\/li> \n<li>protect passwords and links from any other people <\/li>\n<\/ul><\/li><li id=\"field_43_26\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b>OCD UK will: <\/b>\n<ul><li>Make sure all facilitators have DBS checks <\/li>\n<li>Use Zoom with high security enabled. Access via link and password. Participants will enter a waiting room before being allowed to enter and once the session begins the meeting will be locked so that no one else can enter. <\/li>\n<li>Make the content of the session appropriate for those involved <\/li>\n<li>Take any unhelpful behaviour or comments seriously.  \n<li>Be inclusive and sensitive to individual needs <\/li>\n<li>Offer extra support after each session via  email if necessary <\/li><\/ul><\/li><li id=\"field_43_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Parental Permission<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_43_23'>I (Parent\/Guardian) agree to the participant named on page one of this form taking part in the support group meeting with OCD-UK, and will respect and adhere to the above bullet points.  <\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_43_23'><li class='gchoice gchoice_43_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='I consent (parental permission for young person participation).'  id='choice_43_23_1'   aria-describedby=\"gfield_description_43_23\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_43_23_1' id='label_43_23_1' class='gform-field-label gform-field-label--type-inline'>I consent (parental permission for young person participation).<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_43_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  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