Registering A Youth Group

Please read the rules before completing this form for a youth group registration. If you wish to register a Youth Group with more than 10 members please contact us on 01472 721218 for further guidance.

Please note that T-shirts are supplied in adult sizes and you should bear this in mind when ordering.

The Lifestyle organisers may release personal details of participants and details of their projects only for the purpose of publicity. Such publicity might include photographs and/or video film of team members.

If you do not wish your personal details to be used in this way, please tick this box or contact the Lifestyle office on 01472 721218.

Team Details

Team Name *

Team Project *

Adult Advisor Details

Title

First Name *

Last Name *

Address 1 *

Address 2

Town *

County

Postcode *

Daytime Telephone Number *

Email *

We would like to register our team for Lifestyle

We agree to abide by the rules of the scheme

I agree to being an Adult Adviser for the team

How Did You Hear About Lifestyle?

Please select one option to let us know how you heard about Lifestyle

Team Member One Details

First Name *

Last Name *

Address *

Town

Postcode *

Email Address

Telephone Number

Date of Birth *

Gender *

T-shirt Size *

Present School

School in September *

Ethnicity

Team Member Two Details

First Name *

Last Name *

Address *

Town

Postcode *

Email Address

Telephone Number

Date of Birth *

Gender *

T-shirt Size *

Present School

School in September *

Ethnicity

Team Member Three Details

First Name

Last Name

Address

Town

Postcode

Email Address

Telephone Number

Date of Birth

Gender

T-shirt Size

Present School

School in September

Ethnicity

Team Member Four Details

First Name

Last Name

Address

Town

Postcode

Email Address

Telephone Number

Date of Birth

Gender

T-shirt Size

Present School

School in September

Ethnicity

Team Member Five Details

First Name

Last Name

Address

Town

Postcode

Email Address

Telephone Number

Date of Birth

Gender

T-shirt Size

Present School

School in September

Ethnicity

Team Member Six Details

First Name

Last Name

Address

Town

Postcode

Email Address

Telephone Number

Date of Birth

Gender

T-shirt Size

Present School

School in September

Ethnicity

Team Member Seven Details

First Name

Last Name

Address

Town

Postcode

Email Address

Telephone Number

Date of Birth

Gender

T-shirt Size

Present School

School in September

Ethnicity

Team Member Eight Details

First Name

Last Name

Address

Town

Postcode

Email Address

Telephone Number

Date of Birth

Gender

T-shirt Size

Present School

School in September

Ethnicity

Team Member Nine Details

First Name

Last Name

Address

Town

Postcode

Email Address

Telephone Number

Date of Birth

Gender

T-shirt Size

Present School

School in September

Ethnicity

Team Member Ten Details

First Name

Last Name

Address

Town

Postcode

Email Address

Telephone Number

Date of Birth

Gender

T-shirt Size

Present School

School in September

Ethnicity

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