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* 1. Your Full Name

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* 2. Your Email address

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* 3. Are you currently involved in a CoderDojo club?

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* 4. Which country are you running your club/organisation in?

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* 5. If yes, what Dojo are you involved with? (include country)

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* 6. How many people do you plan on training using this Facilitator's guide?

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* 7. Would you like to join a webinar to find out more about the CoderDojo Train the Champion programme?

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