Course Enrollment

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Introduction to Black History
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YoungBlackLeaders.org

Young People Aspire Higher (YPAH) presents the virtual course entitled 'Young Black Leaders'.

Please click on the document below for
- Course schedule

YBL course schedule
File Size:	729 kb
File Type:	pptx

Please make a payment to the following account
Acc Name: YPAH
Acc: 14573392
Sort: 04-06-05
Please enter the details accurately.
Please use the child's name as the reference.
The registration fee is £39.00 for each child.

Please call / text 07956 368 773
if you have any questions.

* Indicates required field

After submitting your payment, please fill out one form per child.

Child's Name *

First

Last

School *

I have paid for the following course *

11-13 Yrs (Wednesday's @ 5.00 PM) 11-13 Yrs (Thursday's @ 5.30 PM) 13-16 Yrs (Wednesday's @ 6.00 PM) 13-16 Yrs (Thursday's @ 6.30 PM)

Age of child *

Address of named child *

Line 1

Line 2

City

State

Zip Code

Country

Email of parent / carer *

Parent / carer phone number *

Level of English for their age *

Average Above average Below average

Is the named child available for the other session? *

Yes No

Does the named child have any allergies / additional needs / requirements? *

Parental consent *

I give permission for the named child to enrol on the Young Black Leaders Course

*

I agree to receiving marketing and promotional materials .

Submit

Home
Course Benefits
Course Enrollment
Sample activity
Sponsorship
Schools / Organisations
Introduction to Black History
Enter Course
Student Portal