LDRL TEAM LAUNCH EVENING

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This form is to register your interest for our LDRL team launch evening.

Please fill out your details in the following questions, and thank you for your interest.

The information submitted through this form will be used for our records and registers, and to contact you or and emergency contact if needed. None of your information would be made public in anyway by us without first notifying you and requesting your consent.

Full name *

Date of Birth *

Contact email address *

Please state any disabilities and learning difficulties *

Your address *

Your postcode *

Do you consent to photos and videos being taken and published on our website and social media? *

Yes

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