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* 1. Name:

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* 2. Club/Organisation:

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* 3. What is your role within your club or organisation?

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* 4. Contact number

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* 5. Email

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* 6. Please select the 2 workshops you would you like to attend

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* 7. If there is anything specific you would like to get from the evening please add in the box below.  We will try and do our best to accommodate as much as we can.

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