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Mountaineers & Explorers
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Email
*
Your email
Child’s details:
Name
*
Your answer
Surname
*
Your answer
Address
*
Your answer
Postcode
*
Your answer
D.O.B.
*
MM
/
DD
/
YYYY
School year
*
Choose
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Parent / Carer’s Details:
Name
*
Your answer
Mobile number
*
Your answer
Relationship to child
*
Your answer
Are the above details to be used in the event of an emergency?
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Yes
No
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