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Global Social Club
Young Person Sign Up Form 2024
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* Indicates required question
Name of young person
*
Your answer
Young person's phone number or other contact
*
Your answer
Emergency Contact / Important Adult
If under 18 please list your carer/social worker/parent
Their Name
*
Your answer
Their Relationship to you
*
Your answer
Phone Number or Email Address
*
Your answer
Young person Date of Birth
Your answer
Young person Age
Your answer
Does the young person have a
Social Worker / PA?
Yes
No
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