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DODGEBALL CLUB
Please fill in your details to register your Interest: 1 FORM PER PERSON
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* Indicates required question
Full name of the participant
*
Your answer
Full name of the parent/Carer (for under 16's).
*
Your answer
Telephone number: (parent's contact for under 16's)
*
Your answer
Your email address: (parent's email for under 16's)
*
Your answer
Please tick:
*
Male
Female
Required
Your age:
*
5 - 7 years
8 - 11 years
12 - 15 years
16+ years and adults
Other:
Required
Please state participant's actual age:
*
Your answer
Please tick if you have filled this form for under 16's
*
Yes
No
Where did you hear about us?
*
Harrow Leisure Centre Everyone Active
Xcel Sportsclub Facebook page/ Instagram
Academia London/xcelsportsclub website
School
None of the above
Other:
Required
If you chose 'school' (name?) OR 'none of the above' (where?)
Your answer
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