Young Lives

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Membership Requirements*

	Is your organisation/service/club a not-for-profit, voluntary and/or community group?
	Do you work with or come into contact with children, young people and/or families?
	Do you work across Cambridgeshire and/or Peterborough?

Choose membership type

* Required information

Membership 30

COST

£30

Promotional Code

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Enter Promotional Code Here *

Your Personal Details

Contact Name	*
Email	*
Name of Organisation	*
Address1	*
Address2	*
Town	*
County	*
Post Code	*
Country
Website
Is this your preferred correspondence address	Yes No
If No please detail

Main Contact (tick this box for this person to receive any correspondence)

Brief description of services/activities or aim of your organisation/club

Your Activities/Services – tick all that apply

Age Groups

0 - 5

5 - 13

13 - 19

19 - 25

What area do you work in (tick all that apply).

	Peterborough
	Huntingdonshire

	East Cambs
	South Cambs

	Fenland
	Cambs City

Other Information

Do all your workers, including volunteers have CRB checks?	Yes No
Would you like to have your organisations details available on our website?	Yes No
Would you like to have your organisations details available in our online and paper directory	Yes No
Would you like to receive our weekly newsletter?	Yes No

Choose Payment Method*


Credit / Debit Card & Paypal	Invoice

Choose your login details to access your account

	Username:	*

	Password:	*

	Password Confirmation:	*

We agree to the terms and conditions of membership and we understand that our membership could be cancelled if we do not abide by these.*

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Young Lives is a company limited by guarantee registered in England no. 5697851 and a registered charity no. 1114745
Registered office: 17 Bridge Street, St Ives, Huntingdon, Cambridgeshire PE27 5EH

Website by: POLAR the web people

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