Get Involved registration form The Core at Corby Cube

If the participant is aged 18 or under, a parent or guardian will need to fill in this form.
Which group is this for?
Clear selection
Participant name
Participant address
Date of birth
School or college attended
Email address (parent or guardian email if participant is aged 18 or under)
Parent/guardian name
Emergency contact number
Additional emergency contact (name and phone number)
Any medical, health or support needs you would like to make us aware of
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