Youth Club Online Sessions

Please complete the details below so that resources can be sent/delivered to your home address for your child to participate in online sessions. Please note all sessions are FREE in January

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* 1. Child's First Name

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* 2. Surname

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* 3. Age

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* 4. Address

Parent/Carer Name

Address

Address 2

City/Town

County

Postal Code

Email Address

Phone Number

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* 5. Allergies/Dietary requests?

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* 6. Sessions you would like to book

25th January 2021

1st February 2021

8th February 2021

15th February 2021