School Registration Form

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* 1. Name of School

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* 2. School Address

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* 3. Name of PE Co-ordinator

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* 4. Contact Email Address

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* 5. Contact Phone Number

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* 6. How many children are there in your school?

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* 7. How many children do you intend to initially get involved in the Daily Mile?

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* 8. Why do you want to start the Daily Mile in your School?

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* 9. Please provide invoice details for the £12 payment.

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* 10. I give permission for Wesport to contact me via the contact details provided

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* 11. Please use the box below for any additional questions or comments

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