SCHOOL POETRY CLUB - Registration Form

Form a club

Thank you for expressing interest in our School Poetry Club Project (Write to Learn). Please kindly read through the Rules & Regulation before completing the form.

To form a club, complete the form below:

PATRON INFORMATION  
Full Name*:
Gender :
Phone number*:
Email*:
Mailing Address:
Occupation:
Present Employer:
SCHOOL INFORMATION  
Name and Address:
Contact number:
Head of School:
Contact number(Head of school):
PROPOSAL  
Proposed Club Name:
Interim Exco  
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List of initial 15 members:

 
* Required fields