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1. Organisation Name

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2. Main Contact Name

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4. Telephone Number

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5. Website (if applicable)

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6. Name of Activity / Workshop

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7. Type of Activity

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8. Brief Description of Activity

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9. What days over the Christmas period are you able to deliver? (between Monday 21st December and Friday 1st January)

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10. Preferred Delivery Location (Select all that apply)

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11. Venue Address (if delivering at providers setting)

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12. Do you have any space or equipment requirements?

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13. Session Duration (e.g. 1 hour, 2 hours)

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14. Maximum Capacity per Session (number of children)

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15. Age Range (if applicable)

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16. Cost per Session or individual

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17. Additional Costs (if any)

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18. Do all staff delivering sessions have appropriate DBS checks?

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19. Public Liability Insurance in place?

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20. Any additional safeguarding information we should be aware of

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21. Please provide any further details that may support your application

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