Winchester ‘Inspiration Extra’ Registration

Thank you for your interest in this programme. Please complete all sections as below and submit to register to secure your place.

Please note all sections must be completed in order for us to process your registration correctly.

 

Parents / Guardian Name*

Students Name*

Student's Date of Birth*

Emergency Contact Name*

Emergency Contact Telephone Number*

Phone*

Mobile*

Parent or Guardian Email Address*

Postal Address*

How did you hear about this event?*

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