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If you think you'd like to be involved, but haven't got an idea yet, you can still register with us. You can also use this form if you're a business or indvidual interested in being a mentor or getting involved in any way.

Contact Details

Name:

Email:
Contact number:
Town:

I'm interested in:

Business:

Message:

The information given will be treated as confidential. It will only be held by The Youth Association and will not be passed on to other organisations without prior consent.

Logos Young Upstarts isfunded by The Coalfields Regeneration Trust and run by
The Youth Association Reg Charity No: 519883 Reg Company No: 2154503
www.youth-association.org
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