Gwneud Cais

Gwneud Cais am Gerdyn Adnabod Gofalwyr Ifanc

Dyma’r fersiwn Saesneg – Cymraeg ar ei ffordd yn fuan!

About the young carer

This section is about you (young carer). If you are a parent filling in on behalf of your child, please enter their details here, then fill in details about yourself as their parent in the next section (Parent Details)

Full Name

We need this for your ID card

Email Address

We need this to setup your account. Use your own if over 13. If setting up for siblings, please use a different email address for each person.

Date of Birth

This will be used to calculate your card expiry date

Please describe in short who you care for (For example 'I care for my mum and she has an illness')

This is for us to see if we can offer any additional help or services. Please DO NOT include personal information such as their name etc.

My school is in:

My school is:

If your school isn't listed then AiDi isn't supported yet. Please notify your headteacher.

ID Profile Photo

Please ensure your photo shows your face, is taken from the shoulders up and is well lit
This will be used as your profile image on the app

Receiving a Service from Action for Children Ynys Môn or Gwynedd Young Carers?

YesNo

I would like to apply for

You can select both if you want the app AND card.

App

Plastic Card

Parent or Guardian Details

Please fill this section in if you are a young carer under 13 years of age

Full Name

We need this to contact you

Email Address

We need this to contact you

Telephone Number

We need this to contact you

I'm happy and consent to providing the personal data above so that I can receive support as a young carer, and receive a young carers physical ID card and/or digital card (via the AiDi App):

To confirm it's me
To confirm I'm a young carer

To stay in touch with:

My school
The person I care for
My local social care service and any other purposes as outlined in the privacy policy.

I agree