- Yorkshire and the Humber Labour Party - Yorkshire and the Humber

Name of trade union

Your name (officer completing the form)

This union nominates the following delegates

Delegate 1 - Full name

Delegate 1 - Membership Number

Delegate 1 - Email

Delegate 1 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 2 - Full name

Delegate 2 - Membership Number

Delegate 2 - Email

Delegate 2 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 3 - Full name

Delegate 3 - Membership Number

Delegate 3 - Email

Delegate 3 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 4 - Full name

Delegate 4 - Membership Number

Delegate 4 - Email

Delegate 4 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 5 - Full name

Delegate 5 - Membership Number

Delegate 5 - Email

Delegate 5 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 6 - Full name

Delegate 6 - Membership Number

Delegate 6 - Email

Delegate 6 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 7 - Full name

Delegate 7 - Membership Number

Delegate 7 - Email

Delegate 7 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 8 - Full name

Delegate 8 - Membership Number

Delegate 8 - Email

Delegate 8 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 9 - Full name

Delegate 9 - Membership Number

Delegate 9 - Email

Delegate 9 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 10 - Full name

Delegate 10 - Membership Number

Delegate 10 - Email

Delegate 10 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 11 - Full name

Delegate 11 - Membership Number

Delegate 11 - Email

Delegate 11 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 12 - Full name

Delegate 12 - Membership Number

Delegate 12 - Email

Delegate 12 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 13 - Full name

Delegate 13 - Membership Number

Delegate 13 - Email

Delegate 13 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

Delegate 14 - Full name

Delegate 14 - Membership Number

Delegate 14 - Email

Delegate 14 - Under 18? *

*Delegates who are under 18 must obtain written parental consent which must be sent to the Regional Office in advance, this will include information on disabilities, medical needs, allergies etc. If you are sending a delegate who is under 18 please contact us for the appropriate parental consent form and the event code of conduct which the under 18 delegate will be required to sign and return to us in advance.

TU delegate appointment form

This union nominates the following delegates