Event registration

Details

Intermediate (YOB 2012-2009) MONDAY

Mon 19 Oct 2026 7:15PM - 8:00PM
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First name*

Last name*

Phone number*

Email address*

Address*

Parent Name (First & Last)*

Parent Mobile*

Participant Name (First & Last)*

Participant YOB*

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

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