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Registration form for FBC YOUTH CLUB
The information on this form will be kept securely, it will not be shared with others who do not have a legitimate interest and it will be used solely for the purposes of the group/s attended. You have the right to see what information is held and to ask for it to be removed or amended at any time. The form will be kept for three years after the young person leaves the group, after which it will be destroyed securely. 
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Contact Details
Young Person's First Name *
Young Person's Last Name *
What group does your Young Person attend? *
Required
Gender of Young Person
Clear selection
Date of Birth *
MM
/
DD
/
YYYY
School/ College
Home address *
Postcode *
Emergency Contact Name *
Relationship to Young Person *
Emergency Contact Phone number *
Parent/Guardian Contact Email *
Alternative person to contact:
Name
Telephone number
I would like to sign up for the monthly FBC Youth Club email as a parent / guardian.  *
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