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* 1. Name of adult

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* 2. Name(s) of child(ren)

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* 3. Age(s) of child(ren)

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* 4. Contact email address

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* 5. Contact phone number

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* 6. Payment options (£6 per child):
Via BACS (Sort code 30-98-90, Account number 17271560, Account name MPRA Playing Fields Project), through Tina's door (10 Oakdale Rd) or through Kat's door (12 Larkspur Grove)

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* 7. Comments

T