Reset Challenge Referral Form

Reset Challenge Consent Disclaimer: I confirm that I have been fully informed about the programme to which I am providing consent for my child, or the child in my care, to be referred. I agree that relevant information may be shared between their Healthcare Professional, the Cheshire East Council Commissioner of One You Cheshire East, and Everybody Health & Leisure for monitoring and evaluation purposes.
I understand that personal data will be processed in line with the General Data Protection Regulation (EU) 2016/679 and stored securely and confidentially within an appropriate database system. I consent to being contacted by letter, email, telephone, and SMS text message.
By completing my registration, I confirm that I agree to the programme's Terms and Conditions.

The Reset Challenge is intended for current tobacco smokers aged 12 to 16 who live in Cheshire East. Referrals cannot be accepted for individuals who have already stopped smoking or who are seeking support solely to stop vaping.
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