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Youth Under The Shade
Register for Youth Hub | Saturdays
The location is:
The Shade Centre
62 Church Road, London E12 6AF
Please Note: Registration is Required before arriving
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SESSION
|
Please fill one form per child
*
Girls Session | 2:30pm to 4:30pm | Saturdays
Boys Session | 6:00pm to 8:00pm | Saturdays
AGE GROUP
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Ages 11 to 14
Ages 15 to 16
Ages 17 to 18
Participants Full Name
*
Your answer
Participants Date of Birth
*
Your answer
Participants Address
*
Your answer
Phone Number
Your answer
EMAIL
Your answer
Please Specify any Medical Illnesses or Disablilities
Your answer
PARENTS/GUARDIANS NAME
*
Your answer
PARENTS/GUARDIANS CONTACT
*
Your answer
PARENTS/GUARDIANS EMAIL
Your answer
EMERGENCY CONTACT (Different Persons Number)
*
Your answer
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