Registration

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* 1. Full Name

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* 2. If Under 18 - Parent/Guardian Full Name

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* 3. Your Email Address or Parent/Guardian Email

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* 4. Phone Number or Parent/Guardian Phone Number

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* 5. Participant Date of Birth

Date

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* 6. I am happy to recieve a phone call with more information about the event

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* 7. How do you plan to reach your £200 fundraising target?

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* 8. I understand that by registering my details, once I have paid for my place at the Future Abseil I commit to raising £200 for Future Youth Zone

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* 9. How did you hear about this event?

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* 10. I would like to receive emails from Future about their work and other ways I can get involved

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