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* 1. First and Last Name

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* 2. Email to contact you at

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* 3. Best phone number to contact you at

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* 4. What is your date of birth?  include year, month and day

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* 5. Choose 1 district/community centre you would like to represent and compete in for the preliminary competition

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* 6. How did you find out about this opportunity?

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* 7. Are there any specific ingredients you are requesting for the cook off pertaining to the dish you are making?

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