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YOUNG PERSON REGISTRATION FORM

Young Person Registration Form

First name

Last name

Date of birth

House/Flat Number

Street Address

City

Postcode

First name (Parent/Career)

Last name

Phone for Parent/Career

Email Address

Any Allergies

Any Medication

Any Disabilities

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CBC Community Church,

59 Kelhead Path,
G52 2QD

Tel no: 0141 370 1252

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Registered charity number Scottish Charity SC041859.

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