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Youth Groups & Activities
Youth Groups Request Form
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Your Contact Details
Request information about local youth groups, clubs and activities
Your Contact Details
Title
Please Select ...
Mr
Mrs
Ms
Miss
Master
Doctor
Professor
Reverend
Father
Sister
Lord
Lady
Sir
Name
*
Surname
*
House or Flat number or name
*
Building Name (if applicable)
Street Name
*
Village or Area (if applicable)
Post Town
*
Post Code (e.g. LE3 2SR)
*
Telephone Number
Please Select ...
Daytime
Evening
Area Code
Number
Email Address
Preferred method(s) of contact
Post
Telephone
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further information
Contact: Youth Service
Telephone: 0116 305 7960
E-mail:
youthservice@leics.gov.uk
Last Updated:
7 October 2008
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