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* 1. Full Name?

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* 2. Email address?

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* 3. Club/Organisation?

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* 5. If so, what provision do you currently offer?

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* 6. Will your club/organisation be able to meet the programme requirements, of delivering 16 weeks of sessions in year 1 (2019/2020) and 16 weeks in year 2 (2020/2021)?

No Possibly Yes
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i We adjusted the number you entered based on the slider’s scale.

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* 7. Is there any additional support that you will require to deliver the programme?

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