..:: Don Bosco Youth Centre ::..

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Don Bosco Youth Science Club

Surname:

Othername:

Sex:

Date of Birth:

Age:

Phone No:

Address:

Last Secondary School Attended:

Present School:

Department:

Favourite Scientist:

Invention:

Turn On:

Turn Off:

Hobby:

QUESTIONNAIRE

What ability do you have that fits the clubs?
What attracted you to the youth centre?
What attracted you to the Club?
Are you a role model?
Are you in any other Club/Group?
What would be your contribution to the Club?

Can you abide by the rules and regulation?: Yes No

Advice for the Club:

I hereby accept the membership of the Club and that I will abide by the rules and regulations governing the Club.