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Hornchurch
Upminster

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First Name *

Last Name *

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City *

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If you have been referred to the Havering HAF programme please provide your UNIQUE VOUCHER CODE here (please put FSM if you are in receipt of Benefit Related Free School Meals *

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Comment

Date of Birth *

Do you have any medical conditions? *

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Emergency Contact Number *

Do you consider yourself to have a disability *

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Please state the nature of your diability: *

Do we have permission to take photos and use these photos on our website, promotional leaflets and social media sites? *

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Are you eligible for BENEFIT RELATED Free School Meals? *

Do we have permission to keep your personal information on file and use this data to send you information regarding future courses via email or text *

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School Name *

Payment Information

Amount

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By registering for this event, I accept Terms and Conditions

Upcoming events

JUl 29

Mini Athletics

Hornchurch Stadium
JUl 29

Athletics

Hornchurch Stadium
JUl 30

Mini Athletics

Hornchurch Stadium
JUl 30

CANVAS CRAFT - Fairkytes Fun

Fairkytes Arts Centre
JUl 30

Athletics

Hornchurch Stadium
JUl 31

STREET DANCE - Fairkytes Fun

Fairkytes Arts Centre

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