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Harbertonford Youth Club - Consent Form
Young People's Information
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* Indicates required question
Parents/carers email addressÂ
*
Your answer
Young Person's Forename
*
Your answer
Young Person's Surname
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Address
*
Your answer
Postcode
*
Your answer
Medical Needs
*
Your answer
I give consent for .....
*
Consent for Sessions
Consent for Photos
Required
Notes:
Your answer
Parent / Carer Name
Your answer
Parent/Carer Phone number
*
Your answer
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This form was created inside of Totnes Rural Area Youth Engagement (TRAYE) Project.
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