test project restart to salesforce

Youth Restart Project

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Club Name

Club Address:

Club City:

Club Post Code:

First Name

Last Name

Applicants position:

Applicants Email

Mobile/Phone

Club Phone

Committee Chair:

Committee Vice Chair:

Secretary:

Treasurer:

Status:CharityVoluntaryControlledIs your provision registered with the Education Authority?

Insurance:–None–Public liabilityEmployers liabilityBuildingsEquipmentMore information please

Date: