ENROLMENT FORM – Multi Kulti Young Peoples Award Please complete this form using capital letters and deleting as appropriate.
Name___________________________________________________________________________________ Address_________________________________________________________________________________ Post code____________________ Date of birth ______/____/_____ Age _____________________________
Name and address of School:
I wish to apply to participate in the Multi Kulti Young Peoples Award. I wish to undertake the following activities for the four Award Sections outlined below: Please give details of any medical conditions - e.g. asthma, allergies _________________________________ ________________________________________________________________________________________ Signature________________________________________________Date_____________________________
Parent's/Guardian's consent I agree that my son /daughter ______________________________________________________(name) may take part in Multi Kulti Young Peoples Award. Name___________________________________Address_________________________________________ _______________________________________________________________________________________ Signed by parent/guardian__________________________________________________________________ Date____________________________________________________________________________________ Please return this form to the Award Co-ordinator or any of the Multi Kulti Youth Centres