Young Londoners Fund | Crystal Palace Community Trust

Please use the below form to register

Young Londoners Fund registration form

Name of activity

YLF partner

Name (of person accessing services/activities)

Date of birth

Sex

Male

Female

Prefer not to say

Address

Postcode

Telephone number

Emergency contact 1: name

Emergency contact 2: name

Emergency contact 1: relationship

Emergency contact 2: relationship

Emergency contact 1: telephone

Emergency contact 2: telephone

Disclaimers

I understand that during courses/activities run by the CPCT and Partner organisations, photographs may be taken of me/my child for promotional purposes. I give permission for these photos to be used in social media and hard copy promotional materials.