By completing this form you are giving permission for the your data to be shared with other members of the Queen's Park Neighbourhood Forum and with organisations directly associated with the running of the Forum. Your data will never be sold to 3rd party organisations and will be kept secure at all times.

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* 1. Contact Details

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* 2. What is your connection with the Queen's Park or Charminster area?

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* 3. Which age range do you fall into?

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* 4. I currently

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* 5. How would you describe yourself?

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* 6. Were you born on the UK?

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* 7. Which gender do you identify with?

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* 8. Please let us know of any skills or areas of interest you could bring to the forum. These can include things like design, organising, computer skills, delivering leaflets, printing etc.

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* 9. When would you be available to attend meetings?

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* 10. I am happy to be a named as a member of the Forum for the purposes of registering with Bournemouth Borough Council.

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