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Junior Chyk Enrollment Form 2020 - Auckland
Email Address of person filling the form *
Your answer
Full Name of the Child *
Your answer
Gender *
Date of Birth of the child
MM
/
DD
/
YYYY
What suburb do you live in?
Your answer
Name on Donation Receipt *
Your answer
Name of Mother/Guardian & Mobile Number *
Your answer
Name of Father & Mobile Number *
Your answer
Which term would you like to enrol for? *
Required
Donations for 2020 *
Required
Mode of Payment of Donation *
Required
Authorisation *
Required
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