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Details

U6 - U9 School Holiday Basic Skills Clinic

Tue 01 Oct 2024 09:00 — 12:00

Woden Athletics Track, Ainsworth Street Cnr Kitchener Street, Phillip Australian Capital Territory 2606

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Athletes Club

Date of Birth*

Gender*

Emergency contact #1 name*

Emergency contact #1 relationship to athlete*

Emergency contact #1 phone*

Emergency contact #2 name

Emergency contact #2 relationship to athlete

Emergency contact #2 phone

Photo permission*

Medical Alerts or Allergies* Max. 255 characters

Please note

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*