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Youth Alliance - initial focus group sign up sheet
Please complete this form if you would like to come along to take part in the first focus group planning sessions being held at the following times at The Space:
Wednesday 28th June - 5-7pm
Wednesday 26th July 2-4pm
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Name
Your answer
Date of birth
Your answer
School/ College
Your answer
Postcode/ Area of Stockport you live in
Your answer
Community/ Youth group who are referring you to the session
Your answer
Parent/ carer name (if under 18)
Your answer
Parent/carer phone number (if under 18)
Your answer
Your phone number (Only if over 18)
Your answer
Any dietary or medical needs we need to know about?
Your answer
Do you have any additional learning needs, or accessibility requirements? Please give details if so.
Your answer
Preferred pronouns
Your answer
Which of the following sessions are you intending on attending?
Wednesday 28th June - 5-7pm
Wednesday 26th July - 2-4pm
Both sessions
Are you happy for your photograph to be taken during sessions
which would be used to promote the group/share in our newsletter?
Yes
No
Clear selection
Why do you want to be a part of the youth alliance?
Your answer
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