Satellite Clubs Activator Training Event

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1. Personal Information
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The Satellite Club Activator Training Event will take place on 26th January 2020 9am-5pm at Sir Tom Finney Sports Centre, Preston.

The deadline for submitting the application for Friday 13th December. If you prefer to complete a paper copy of the application please contact Katey Markland on kmarkland@activelancashire.org.uk
 

1. Full Name *

 

2. Date of Birth *

   DD/MM/YYYY 
 
 

3. Gender *

 

4. Email Address *

 

5. Mobile Number *

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