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Youth Membership // 10-18 YRS
Membership Form
First Name *
Last Name *
DOB *
Gender *
Select...
Male
Female
Attendee School / College *
Attendee Email *
Mobile Phone *
Address Line 1 *
Town / City
Postcode *
PARENT/GUARDIAN
Full Name *
Mobile Number *
Email Address *
EMERGENCY CONTACT
First Name *
Surname *
Emergency Mobile *
Emergency Email *
MEDICAL
Does the young person suffer from asthma, hay fever, or any other illness?
NO
YES
Are they allergic to anything?
NO
YES
CONSENT
Permission to walk home
Media / Photo consent
Marketing / Email protocol
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