Young Leaders Registration form

PROGRAM INFORMATION
Duration of activities: September 2024 to May 2025

Activities are €90 for the entire period and will include:
- Once a month leadership workshop
- Community service activities
- Transportation to outside program activities
- Snacks & drinks during meetings
- Accident Insurance
- 2 Program T-shirts
For more information please contact

Stephanie Nicolas - +35722660061 or snicolas@unitedsportscy.com
REGISTRATION FORM - PARTICIPANT INFORMATION
FULL NAME*
DATE OF BIRTH*

DayMonthYear
GENDER*
NATIONALITY*
PARTICIPANT PHONE NUMBER*
PARTICIPANT EMAIL ADDRESS*
T-SHIRT SIZE*
ID STATUS*
OTHER ID DOCUMENTS
Can you cross with your ID documents*

I can cross to SouthI can cross to NorthI cannot cross
HOW WERE YOU INFORMED ABOUT THE YOUNG LEADERS PROGRAM*

OTHER INFORMATION
What makes you a good participant for the Young Leaders Program?*
What community project would you like to do, to help give back to your community?*
Sports that you would like to do:*
Other Activities & Teambuilders that you would like to do:*
Workshop Thematics & Volunteer projects that you would like to do:*

CONSENT FORM & PARENT/GUARDIAN CONTACT DETAILS
FULL NAME*
RELATION TO PARTICIPANT*
PHONE NUMBER*
EMAIL*
example@example.com
In the event of a medical emergency, we have your permission to take your child to emergency care or provide first aid and medication*
I allow my child to appear in any related material for communication/information purposes to improve the program (children's faces will be hidden).*

Program Fee*

Full amount

€90.00

2 Installments

€45.00

3 Installments

€30.00

Pay in cash in September

€ Free

Total

€0.00

PROGRAM INFORMATION