OC 3 Youth (Siblings)

Details: £15 per Child (Monthly). Registration fee (One-off): £20 per youth

Parent Details

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Mobile Number:* Mobile Number is Required

Email:* Email is Required

Youth Full Name:* Youth Full Name is Required

Youth Gender:* Youth Gender is Required

Youth D.O.B:* Youth D.O.B is Required

Youth Age:* Youth Age is Required

Youth School Year Group:* Youth School Year Group is Required

Youth Medical conditions/allergies: Youth Medical conditions/allergies is not valid

Youth behavioural or learning difficulties:* Youth behavioural or learning difficulties is Required

Youth 2 Full Name:* Youth 2 Full Name is Required

Youth 2 Gender:* Youth 2 Gender is Required

Youth 2 D.O.B:* Youth 2 D.O.B is Required

Youth 2 Age:* Youth 2 Age is Required

Youth 2 School Year Group:* Youth 2 School Year Group is Required

Youth 2 Medical conditions/allergies:* Youth 2 Medical conditions/allergies is Required

Youth 3 Full Name:* Youth 3 Full Name is Required

Youth 3 Gender:* Youth 3 Gender is Required

Youth 3 D.O.B:* Youth 3 D.O.B is Required

Youth 3 Age:* Youth 3 Age is Required

Youth 3 School Year Group:* Youth 3 School Year Group is Required

Youth 3 Medical conditions/allergies:* Youth 3 Medical conditions/allergies is Required

What is your ethnic background? (Choose one option that best describes your ethnic group or background):* What is your ethnic background? (Choose one option that best describes your ethnic group or background) is Required

How did you hear about us?:* How did you hear about us? is Required

I confirm I grant New Roots permission to take photos/videos for use in their marketing material and social media pages:* I confirm I grant New Roots permission to take photos/videos for use in their marketing material and social media pages is Required

We will be offering ONLY those who are 14+ the opportunity to undertake the prestigious DofE award under the guidance of Open Circle. Would you be interested in enrolling? (More info will be provided soon):* We will be offering ONLY those who are 14+ the opportunity to undertake the prestigious DofE award under the guidance of Open Circle. Would you be interested in enrolling? (More info will be provided soon) is Required

Youth 2 - We will be offering ONLY those who are 14+ the opportunity to undertake the prestigious DofE award under the guidance of Open Circle. Would you be interested in enrolling? (More info will be provided soon):* Youth 2 - We will be offering ONLY those who are 14+ the opportunity to undertake the prestigious DofE award under the guidance of Open Circle. Would you be interested in enrolling? (More info will be provided soon) is Required

Youth 3 - We will be offering ONLY those who are 14+ the opportunity to undertake the prestigious DofE award under the guidance of Open Circle. Would you be interested in enrolling? (More info will be provided soon):* Youth 3 - We will be offering ONLY those who are 14+ the opportunity to undertake the prestigious DofE award under the guidance of Open Circle. Would you be interested in enrolling? (More info will be provided soon) is Required

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Description	Amount
OC 3 Youth (Siblings) – Initial Payment	£60.00
Total	£60.00

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