Youth program consent form

Complete this form to say that you are happy to attend the introduction session on Friday 26^th November at 3.10pm in room MC02 and subsequent sessions, if you decide to join! We also need the authorisation of one of your parents.

Personal information – Youth program
Name*
First Last
Address
Street Address Address Line 2 City ZIP / Postal Code
Class
Mobile*
Gender¹*
Gender<sup>2</sup>*
Please state*
Interest/ hobbies (i.e. music, Drama, environnement …etc.)*
Do you have any food allergy?*
Please indicate*
Do you need transport at the end of the session? We provide free transport*
Personal information – parent
Name
First Last
Contact number(s)*
Email
¹Please email form back to admin@qpco.org.uk or return to Bedford Academy reception.
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Youth program consent form

Personal information – Youth program

Personal information – parent