Application For Matron / Chaperone Approval

Please refer to updated government guidelines on COVID 19 before proceeding with any child performance/activity. Safety of the children and prevention of the spread of the virus is paramount. If in any doubt, the performance/activity should be postponed.

Children And Young Persons Act, 1963
Children (Performances) Regulations, 1968

“The Licensing Authority shall not approve a matron (Chaperone) unless they are satisfied that she [he] is suitable and competent..”
(Regulation 12(2), Children(Performances) Regulations 1968)

“Any person who knowingly or recklessly makes any false statement in or in connection with an application for a licence….shall be liable on summary conviction to a fine not exceeding £1,000, or imprisonment for a term not exceeding three months or both”
(Children and Young Persons Act, 1963, Part 11, Section 40)

All information given in this application form will be treated in confidence, other than information relating to criminal offences.

Information about data collected via online forms

Name	Cookie purpose description	Provider	Expiry
CookieNotice	Used to hold the selections you make as to which cookies you allow from the site.	southwark.gov.uk	6 months
Bridge.Auth	used to hold authentication information	southwark.gov.uk	Session
ASP.NET_SessionId	used to hold session information	southwark.gov.uk	Session
ProcessDisplayOptionsActionFilter.Pref	This cookie is used to remember display settings for colour contrast and font sizes set by the user in the accessibility options panel.	southwark.gov.uk	30 days
visid_incap_#	Preserves users states across page requests.	southwark.gov.uk	1 year
incap_ses_#	Preserves users states across page requests.	southwark.gov.uk	Session
AWSELBCORS	Used to distribute traffic to the website on several servers in order to optimise response times.	www.servmetric.com	5 minutes
local_storage_support_test	The cookie is used in context with the local-storage function in the browser. This function allows the web site to load faster by pre-loading certain procedures.	twitter.com	Persistent
CalloutDisplay	This cookie is used to record what callouts have been dismissed during a session to ensure they do not re-appear.	southwark.gov.uk	Session
ApplicationGatewayAffinityCORS	Essential cookie used for web server load balancing	southwark.gov.uk	session
ApplicationGatewayAffinity	Essential cookie for web server load balancing	southwark.gov.uk	session

Name	Cookie purpose description	Provider	Expiry
___utmvc#	Collects information on visitor behaviour on multiple websites. This information is used on the website, in order to optimise the relevance of advertisement.	southwark.gov.uk	1 day
tr	Used by Facebook to deliver a series of advertisement products such as real time bidding from third party advertisers.	facebook.com	Session
r/collect	This cookie is used to send data to Google Analytics about the visitor's device and behaviour. It tracks the visitor across devices and marketing channels.	google-analytics.com	Session
i/jot/syndication	Unclassified	twitter.com	Session
fr	Used by Facebook to deliver a series of advertisement products such as real time bidding from third party advertisers.	facebook.com	3 months
_fbp	Used by Facebook to deliver a series of advertisement products such as real time bidding from third party advertisers.	Facebook.com	3 months
__widgetsettings	Unclassified	twitter.com	Persistent
Basis Pixel	Used by Centro (Basis DSP) to deliver targeted online advertising	<a href="https://dspsupport.basis.net/hc/en-us">Basis DSP</a>	180 days
Facebook Pixel	Used by Centro (Basis DSP) to deliver targeted online advertising	<a href="https://dspsupport.basis.net/hc/en-us">Basis DSP</a>	180 days
Google Pixel	Used by Google to deliver targeted online advertising	<a href="https://tagmanager.google.com/#/home">Google</a>	540 days

Name	Cookie purpose description	Provider	Expiry
_dc_gtm_UA-#	Used by Google Tag Manager to control the loading of a Google Analytics script tag.	google-analytics.com	1 day
_ga	Registers a unique ID that is used to generate statistical data on how the visitor uses the website.	google-analytics.com	2 years
collect	Used to send data to Google Analytics about the visitor's device and behaviour. Tracks the visitor across devices and marketing channels.	google-analytics.com	Session
_gid	Registers a unique ID that is used to generate statistical data on how the visitor uses the website.	southwark.gov.uk	1 day

Application For Matron / Chaperone Approval

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