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Life Child Champions Application Form

This field is for validation purposes and should be left unchanged.

Personal information

Title

Name(Required)

Surname First Name

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Tel No (Home)

Tel No (Work)

Cell No(Required)

Please enter area code.

E-mail(Required)

Date of Birth(Required)

Day

Month

Year

Passport/ID Number(Required)

Citizenship(Required)

Family Status(Required)

Employment status and Profession(Required)

Employer

Have you ever been investigated, charged or convicted of a criminal offense?(Required)

Yes

If yes, give dates and details…(Required)

Give a brief description of how you plan to be a Life Child Champion.(Required)

Do you have access to resources needed to fund your Life Child Champion initiative?(Required)

Yes

Optional

Do you belong to a local church?

Yes

Name of the Local Church

How long have you been a member of this church?

Have you been on a short-term or mid-term outreach project?

Yes

Have you visited one of the Life Child Projects?

Yes

If yes, explain your involvement.

Consent(Required)

By ticking, I agree to Life Child’s Data Policy and Disclaimer. I acknowledge and agree that Life Child, volunteers, sponsors, or suppliers will not be held responsible for any injury, damage, or loss prior to or during the event. I also declare that I am participating in Life Child’s Padel for a Purpose Tournament on Thursday, 16th July 2026, entirely at my own risk. I accept that if the event is cancelled for any reason, no funds will be returned.

By ticking I agree to the Life Child’s Data Policy(Required)

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