| Which Open Day? |
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| Open Day on Thursday 11th April (Sciences): bookings closed. |
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| Open Day on Friday 12th April (Arts and Humanities): bookings closed. |
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| Open Day on Saturday 11th May (Mathematics) : bookings closed. |
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| Date of Open Day(*): |
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| Open Day on Friday 20th September (All Subjects) : online booking will open on 20 July 2013. |
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| Organiser's details |
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| Name of School/College(*): |
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| Town/City/Country of School/College(*): |
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| First Name(*): |
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| Last Name(*): |
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| Gender(*): |
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| Work telephone number(*): |
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| Mobile number(*): |
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| School address(*): |
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| Postcode(*): |
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| Country(*): |
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| Email address(*): |
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| Confirm email address(*): |
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| Teachers/Advisors Attending |
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| Please enter the names of the teachers/advisors who will be attending (max 5). Include the organiser's name again if he/she will attend. |
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| Teacher/Advisor 1... |
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| First Name: |
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| Last Name: |
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| Position/Job Title: |
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| Gender: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Teacher/Advisor 2... |
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| First Name: |
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| Last Name: |
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| Position/Job Title: |
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| Gender: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Teacher/Advisor 3... |
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| First Name: |
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| Last Name: |
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| Position/Job Title: |
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| Gender: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Teacher/Advisor 4... |
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| First Name: |
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| Last Name: |
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| Position/Job Title: |
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| Gender: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Teacher/Advisor 5... |
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| First Name: |
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| Last Name: |
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| Position/Job Title: |
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| Gender: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Students Attending |
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| Please enter the names of the students who will be attending (max 20). |
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| Student 1... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 2... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 3... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 4... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 5... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 6... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 7... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 8... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 9... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 10... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 11... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 12... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 13... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 14... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 15... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 16... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 17... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 18... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 19... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Student 20... |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of birth: |
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| Subject of Interest: |
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| Holding an offer of a place from Churchill, having previously applied? |
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| Email address: |
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| Dietary requirements: |
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| Disability requirements: |
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| Accommodation: |
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| Accommodation includes breakfast the following morning. |
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| Information |
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| We will try to accommodate female students on the first or second floor but we cannot guarantee non-ground floor bookings. |
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| Evening meals are NOT included in the price of accommodation but can be purchased with cash at the till when the dining hall is operating. |
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| Please note that accommodation is for the use of students who are attending a Churchill College Open Day, which may be part of a wider visit to Cambridge. Schools and Colleges whose students occupy our accommodation but do not attend our Open Day will be charged the full commercial rate. |
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| I have read and understood these terms and conditions.(*) |
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