PCYC Youth Week Sports Empowerment
Sign up for Sports Empowerment Evening on APRIL 3RD 2020 4-6pm
Email address *
Surname? *
Your answer
First name? *
Your answer
What is your birthday? *
MM
/
DD
/
YYYY
Please provide your emergency contact (even if you are over 18 years of age) *
Your answer
What level skate boarder are you? *
Do you have any dietary requirements or allergies? *
Do you require equipment? (helmets are compulsory) *
How did you hear about this event? *
A copy of your responses will be emailed to the address you provided.
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