Buddies Expression of Interest Form

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Buddies Expression of Interest Form

* Indicates required question

Name *

Your answer

D.O.B *

Your answer

Address *

Your answer

Telephone Contact Number/s

Your answer

Email Address *

Your answer

Why do you want to be a part of the "Young Revolution" Program? *

Your answer

How would you describe yourself? *

Your answer

How would your friends describe you? *

Your answer

What would you say are your good and bad points? *

Your answer

Guardians Name *

Your answer

Guardians Name *

Your answer

Guardians e-mail *

Your answer

I agree to my child submitting this expression of interest in the "Young Revolution" project, because *

Your answer

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