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BOYS WAITING LIST

ISLAMIC YOUTH GROUP

PARENT/GUARDIAN
PARENT 1

What is your relationship to the child?

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Enter your first name.

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Enter your phone number.

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PARENT 2

What is your relationship to the child?

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Enter your first name.

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CHILD
CHILD ONE

What is the gender of your child?

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Enter the child's Date Of Birth.

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Enter your first name.

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Enter your last name.

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CHILD TWO

What is the gender of your child?

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Enter the child's Date Of Birth.

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Enter your first name.

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Enter your last name.

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CHILD THREE

What is the gender of your child?

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Enter the child's Date Of Birth.

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Enter your first name.

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Enter your last name.

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CHILD FOUR

What is the gender of your child?

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Enter the child's Date Of Birth.

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Enter your first name.

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Enter your last name.

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CHILD FIVE

What is the gender of your child?

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Enter the child's Date Of Birth.

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Enter your first name.

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Enter your last name.

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NAMES ADDED
ADDRESS

Enter the first line of your address.

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Sutton Coldfield Muslim Association is a UK registered charity (no. 1020820).

Address

Anchorage Road
Sutton Coldfield
West Midlands
B74 2PL
United Kingdom