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First name *Please enter your first name

Last name *Please enter your last name

Email *Please enter your emailInvalid email address

Confirm email *Emails do not match

Date of birth *Please enter your date of birthYou must be at least 16 years old to take part in HeadStart.

Postcode *Please enter a postcode

Mobile number *Please completeIncorrect UK mobile phone number

How did you find out about Headstart?*Please select a source

Are you completing this form on behalf of someone else?*Please select an option

Have you taken part in NCS?*Please select an option

Date of birth errorError: Duplicate account (001)An account already exists with this email. Please login here (https://www.headstart-thechallenge.org/) to continue. If you can't Login, follow the "Forgotten Password?" link and reset your password.An error has occurred. Please try again

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Please note: you must be at least 16 years old to take part in HeadStart. Please make sure you've entered your birth date correctly, and if we cannot verify that you are 16 or older, we cannot confirm your application.

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