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* 1. Child's Full Name

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* 2. Parent/Guardian Full Name

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* 4. Parent/Guardian Contact Number

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* 5. Home Address

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* 6. Does your child have any medical conditions we should be aware of?

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* 7. If yes, please provide details of the medical conditions.

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* 8. Does your child have any allergies?

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* 9. If yes, please provide details of the allergies.

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* 10. Do you give consent for your child to participate in all activities organized by the youth club?

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