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Participant Details

First Name
Last Name
Date of Birth
Gender
School  
T-Shirt Size T-shirt size chart
Email Address
Do you have any medical conditions we need to know about? If so, please tick.

Postal address

Please ensure that you provide a physical address, as race packs cannot be couriered to a P.O.Box.
Street Number/Name
Suburb
City/Town
Postcode (find postcode)
Home phone -
Work phone -

Parent/guardian details

First name
Last name
Relationship to participant

Mobile Number                                    

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