WELCOME TO CPC UNTD YOUTH!
WELCOME TO CPC UNTD YOUTH!
STUDENT DETAILS
First Name
*
Last Name
*
Gender
Male
Female
Date of Birth
*
Phone Number
*
ALLERGIES/ HEALTH CONDITIONS
PARENT/ GUARDIAN DETAILS
Preferred Method of Contact
*
Phone Call
Text Message
Email
Parents First Name and Last Name
*
Mobile Number
*
Email Address
*
I GIVE PERMISSION FOR MY CHILD TO BE CONTACTED BY LEADERSHIP VIA TEXT/SOCIAL MEDIA
YES TO TEXT AND SOCIAL MEDIA
YES TO TEXT
YES TO SOCIAL MEDIA
NO TO BOTH
Location
*
Tullamarine Campus
Melton Campus
ADDITIONAL INFORMATION ABOUT STUDENT
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