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Please fill out the following questions to book onto this course.
Please note - there are limited spaces available and places will be allocated on a first-come-first-served basis. 
You'll be sent a confirmation email once it has been processed by the Community Chesterfield team.
Please note - if the course is oversubscribed, there will only be space for one person to attend per organisation. 

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* 1. What is your name?

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* 2. Which organisation do you work/volunteer for?

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* 3. What is your role within your organisation? 

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* 4. What is your email address?  (this will only be used to contact you about the course)

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* 5. What is your phone number? (this will only be used to contact you about the course)

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* 6. If you have an accessibility need and require assistance in order to be able to attend this course, please let us know in the box below. 

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* 7. I can confirm that I am able to attend all three sessions (4th, 11th and 18th March)

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