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Mandela Centre Youth Summer Basketball Camp
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Email
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Your email
Participant's First Name
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Your answer
Participant's Surname
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Your answer
Participant's Gender
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Female
Male
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Participant's Date of Birth
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Your answer
Participant's Ethnicity
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Asian/Asian British/ Any other Asian background
Black / African / Caribbean / Black British/ Any other Black background
Mixed Ethnicity
Other Ethnic Group
White/White British/Any other White background
Other:
Address
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Post Code
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Your answer
School/College Attending (September 2024)
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Your answer
Is your child in receipt of free school meals?
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Parent/Guardian First Name
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Your answer
Parent/Guardian Surname
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Your answer
Parent/Guardian Phone Number
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Number
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Your answer
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