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Manhood Academy: Registration Form
Please complete this form in full. Once filled out your child will be reserved a place on the program.
Your details are confidential. We will not forward your details on to third parties
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Email
*
Your email
Parent / Carer Name
Your answer
Address
Your answer
Tel / WhatsApp Number
Your answer
Borough & postcode
Your answer
Mobile phone
Your answer
Facebook name
Your answer
Instagram name
Your answer
Name of Child
Your answer
Child age / Date of Birth
Your answer
School child currently attends
Your answer
Ethnic origin (Mother & Father)
Your answer
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