Dragons v Connacht - Junior Takeover

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* 1. Childs Name

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* 2. Child D.O.B:

Date / Time

Date

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* 3. Parent/Guardian Name:

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* 4. Parent/Guardian Email:

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* 5. Parent/Guardian Contact Number

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* 6. Desired Role:

Junior Chairman

Junior Stadium Manager

Junior Journalist

Junior Kit Manager

Junior Community Manager

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* 7. Short description why the Child would be a good fit for the role: