WPFC Young Leaders Application Form
Westbourne Park Family Centre Young Leaders Project Registration Form
Personal Details of Young Leader
Full Name *
Your answer
Email address *
Your answer
Address *
Your answer
Post Code *
Your answer
Telephone Number *
Your answer
Date of Birth *
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Age *
Your answer

The Young Leaders Project promotes volunteering and citizenship. by Volunteering at Club Xpress( children's club for 5-11 year olds) the volunteers are able to attend the youth club that follows. If they volunteer 3 times during a term they are eligible to attend the end of term trip.
Westbourne Park Family Centre is a Christian faith based charity and asks for its volunteers to symphatize with its values, which are to Nurture, Encourage, Care, protect and Persevere:
We welcome young people from all faith backgrounds and none. Please tick as appropriate *
Required
Parent/ Guardian Consent and Support
Health Information
Allergies/ medical conditions *
Your answer
Permissions
I give permission for my child to take part in the project *
In the event of an emergency. I give permission for my child to be accompanied by a staff member to the hospital. *
In the case that photographs are taken. I give permission for photographs of my child to be used
I understand my child's involvement in the project is dependent upon co-operative behaviour *
Parent/Guardian Consent and Support
Name *
Your answer
Relation to Child *
Mobile *
Your answer
Email *
Your answer
I agree for my child to join the Young Leaders Project and will support them in their role
Signature *
Your answer
Date *
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Submit
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