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* 1. Name of person completing this form:

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* 2. The WRFL club you represent:

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* 3. Your role within the club (i.e. president, administrator, coach, women's football manager etc):

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* 4. Your email address:

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* 5. Your mobile number:

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* 6. Does your club intend to send a representative(s) to this workshop?

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* 7. If you answered 'yes' to the above, please provide the name(s) of those attending from your club:

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* 8. If any known dietary requirements for attendee(s), please provide detail here:

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