Active-ate 2021 Registration and Booking Form

Active-ate won the National Street Games Fit and Fed Award in 2019

Please fill in the form below. If you have any difficulties using the online application and booking form, please contact us at Rugeley Community Centre 01889  579341 or ring the Active-ate mobile phone no: 07870 571782

Example: 25-12-2010 and 11 years old
Example: 25-12-2010 and 11 years old
Example: 25-12-2010 and 11 years old
Example: 25-12-2010 and 11 years old

**Data will be stored and handled in line with the privacy statement of Rugeley Community Church Ltd and will not be passed onto any third-party organisations. You can withdraw or change your consent at any time by contacting [email protected]. Please note that all processing of your personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any personal data that has already been processed prior to this point.


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