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Horwich Rotary Youth Awards Application (2019)
Please complete the form below, a letter expanding any of the below sections should be attached if appropriate.
ALL APPLICATIONS FORMS MUST BE COMPLETED BY THE APPLICANT
We are unable to accept any applications completed by a parent or guardian.
Surname
Other Names
Date Of Birth
DD
/
MM
/
YYYY
Telephone Number
Address
Postcode
School, College or Group Attended
From
DD
/
MM
/
YYYY
To
DD
/
MM
/
YYYY
Activity or Pursuit For Which An Award Is Sought
Details Of Achievements to Date
Details Of Coaching / Tuition To Date
Future Prospects or Intentions (Please show how the award would be used and, if appropriate, indicate the weekly cost)
Your Email Address
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