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 *
Parent / Carer Name
Tel / WhatsApp Number
Borough & postcode
Mobile phone
Facebook name
Instagram name
Name of Child
Child age / Date of Birth
School child currently attends
Ethnic origin (Mother & Father)
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