Enrolment Form 2021
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Child's Name (First)
Child's Name (Last)
Age of child in September
I will be paying for the following course
Year 6 - 7 (Thursday @ 4.40pm)
Year 8 -9 (Thursday @ 5.40pm)
Year 10 + (Thursdays @ 6.40pm)
Year 6-7 (Tuesdays @ 5.40pm)
Year 8-9 (Tuesdays @ 6.40pm)
My child cannot attend at these times.
If you cannot attend the times above, please suggest another time you would be able to participate.
Address of named child
Name of parent / carer
Email of parent / carer
Phone number of parent / carer
Child's level of English for their age
Does the named child have any medical conditions / additional needs / requirements?
If yes, please specify:
I give permission for my child to enrol on to the Young Black Leaders Course
A copy of your responses will be emailed to the address you provided.
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This form was created inside of University of the Philippines.