Name of your organisation*

    Address of your organisation*

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    Address 2:
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    Project Contact Name*

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    First Name:
    Surname:

    Telephone*

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    Email Address*

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    Type of Project

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    Tell us about your project

    Number of classes that will participate in the project:

    Total number of pupils across classes that will participate:

    Date you intend to run the project in class:

    Do you wish to include the child’s photo on the reverse of the card? (Cards Only)

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