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Duke Of Edinburgh's Award Registration Form
Please complete all sections. Once completed, your DofE pack will then be sent to you as soon as payment has been received. - see below for details on how to pay.
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* Indicates required question
Member Name
*
Your answer
Membership no.
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Participant Email Address
*
The Email address & telephone numbers will only be used in connection of the DofE Award.
Your answer
Telephone no.
*
Your answer
I wish to Register for the DofE Award at level of entry
*
Choose
Bronze (aged 14+ or aged 13 in the school year you turn 14)
Silver (aged 15+ or aged 14 in the school year you turn 15)
Gold (aged 16+)
Have you done Bronze or Silver with another organisation eg. school
*
Choose
Yes
No
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