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    Partner Application Form

    Thank you for your interest in being part of our Movement for Movement Physical Activity Strategy. Please complete the following form and a member of our team will be in touch shortly.

      • First Name*
      • Last Name*
      • Email Address:*
      • Club / Organisation Name:
      • Contact Number
      • Briefly explain the purpose of your project:*
      • What makes you want to sign up as a partner?*
      • Please tell us how you will embed a Movement for Movement within your work?*
      • Please provide us with a copy of your logo:
        x
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