Registration 2 | Can-Do Sports and Drama Club

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Member Information

Registration Form Part 2.

Title *

Mr

Mrs

Miss

Ms

Dr

First Name *

Last Name *

Date Of Birth *

Email

Mobile

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Visual Impairment

Hearing Impairment

Learning Disability

Physical Disability

Multiple Disabilities

Please give any additional details that may be useful *

Please detail here any medication you are taking, and which of these you keep with you at all times *

Please detail here any important medical information that we should be aware of *

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We are a team of passionate people whose goal is to improve life and have fun through sports and drama.

CAN-DO SPORTS AND DRAMA CLUB LTD
20 Wenlock Road, London, N1 7GU