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    Physical Activity Strategy Individual Interest 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*
      • Contact Telephone Number*
      • Contact Email*
      • Organisation Name*
      • What makes you want to sign up as a partner?*
      • Please tell us how you will embed a Movement for Movement within your work or organisation?*
      • Please provide us with an image we can use on our website:*
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