Youth Club - Expression of Interest Form

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Thank you for expressing an interest in our upcoming youth club, please complete the information below to register your child for our Youth Club.

Date| Every Wednesday
Time| 3:30 - 5:00pm
Price| £1.00 per session

Email *

Parents Name *

Home Address *

Phone number *

Child's Name *

Age *

Gender *

Male

Female

Prefer not to say

Other:

Are you/child a current member of Clydebank CSH? (have you completed a 2021-22 member registration form?) *

Yes

How did you hear about this project? *

Hub Member/Club

Community Organisation

Clydebank CSH Social Media Page

Facebook - Friend/group page

Twitter

Instagram

Poster

Press

Community Member

Other:

I give consent that in future, Clydebank CSH will send the above email address up to date information regarding the project and any other Clydebank CSH Activities and special community events. You'll be to unsubscribe at any time and we never share your information. To unsubscribe please email activities@clydebankcsh.com *

Yes

A copy of your responses will be emailed to the address you provided.

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