Registering A Lifestyle Team

Please read the rules before completing this form for a single team registration.

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 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

We would like to register our team for Lifestyle 2017

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

Spam check and submit

What code is in the image? *

Enter the characters shown in the image.