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Registration Form

This form will submit your details to us via a text email.

 
If you prefer, you can email jane.martin@scdi.org.uk directly with your details or contact us by telephone or post.
Club Details
Club Leader
(Firstname/Surname) *
Position
Telephone *
Email *
Name of Club
Name of School *
Address *
Postcode
School Telephone *
Website
When do you intend running the club - day/time?
Club Members - Male
Club Members - Female
Please list contacts with local companies
Please indicate any specific assistance your require for the club:
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