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* 1. Group/Organisation Name:

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* 2. Main contact name

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* 3. Your contact details, phone and email:

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* 4. Where are you based? (town):

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* 5. Approx. number of participants:

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* 6. Age range:

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* 7. Are there any access requirements we may need to be aware of?

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* 8. Preferred time slot (e.g.  6pm-7pm)

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