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* 1. Student 1. Last Name

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* 2. Student 1. First Name

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* 3. Student 1. Year Group

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* 4. Student 1. Email address

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* 5. Student 2. Last Name

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* 6. Student 2. First Name

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* 7. Student 2. Year Group

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* 8. Student 2. Email Address

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* 9. Proposed Date and Venue for Competing

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* 10. We understand that there is a cost associated with this competition that we will be required to pay upon registration.

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