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Parent's Mailing List
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* Indicates required question
Full Name of Child
*
Your answer
Child's Date of Birth
*
Your answer
Name of School/College
*
Your answer
Year at School/College
*
Choose
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
Gender
*
Your answer
Address
*
Your answer
Postcode
*
Your answer
Mobile Number of Young Person
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Emergency Contact E-Mail
*
Your answer
How did you hear about us?
*
Friend
Social Media
Church on Sundays
School
Other:
I agree to my details being added to the church database
*
Yes
Required
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