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* 1. First Name and Surname

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* 2. School attended when you had a Queensland Junior Chess Rating

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* 3. Date of Birth

Date

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* 4. What is your gender?

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* 5. I/we agree for my NAPLAN data to be used by the research team (Assoc Professor Luke van der Laan, Dr David Smerdon and Doctoral Candidate Graeme Gardiner) for research involving matching NAPLAN scores with Queensland Junior Chess Ratings before deidentifying and supplying to the research team for analysis. Ticking this box is acceptable for those aged 18 and over today; if age under 18 ticking this box means that both the student under 18 and parent agree.

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* 6. Date today

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