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Webform
Active 30:30 Champions webform
Active 30:30 Champions enquiry
School Name
*
Enter your school name
School Address
*
Enter your full school address and postcode
Lead Contact Name
*
Enter the name of who we should contact regarding this enquiry
Lead Contact Email Address
*
Enter the email address of the lead contact
Lead Contact Phone Number
*
Enter the best phone number for the lead contact
Preferred Start Date
*
Preferred date for first half-day visit. Visits require a minimum of four weeks notice
Visit Plans
Assembly
Motivational Talk
Workshop
Sports Presentation
Other
Please select all of the options that you are interested in
If other, please give details
Consent for storing submitted data
*
Yes, I give permission to store and process my data