Challenge Duncan Request Form Contact Contact Name of Leisure Trust Name of main contact Date(s) and approximate timescale of your event: Location of event: Describe your event to us: In what ways would the game be used at your event, and how would it benefit swimming and the Learn to Swim programme? How many people do you expect to attend the event? Can you provide people to help with moving and delivering the machine to the venue (from car park to specific desired location)? Will there be a power source at your event venue, to ensure the machine can operate? Is the event indoors or outdoors; and on what type of surface? Please provide contact details for the primary and secondary contacts: