Application Form to join

Waterford Young Peoples Political Association

Name: _______________________________
Date of Birth (D/M/Y): ______ / __________ / ________
Address: ___________________________________________________________________
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Email: __________________________
Mobile Number: _______________________
Do you have any previous or current party or political affiliation? If so, please state.
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Name of Parent/Guardian: _____________________________
Parent/Guardians Email: _____________________________
Parent/Guardians Mobile Number: _____________________
Does your child have any allergies? ______________________________________________

Please write at least 100 words on the following page about why you would like to join
Waterford Young Peoples Political Association (WYPPA.) This will be your application to
join WYPPA as the limit we have on numbers is 15. Please explain why you want to join
WYPPA and what you think you can add to the group:
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By signing this, youre also consenting to you/your child having their photo taken for press
and social media. If you are over 18 and wish to join WYPPA there is no need for a
parent/guardian to sign.
Signed:
____________________________
Young Person

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Parent/Guardian