Event registration

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Details

SA - Course EOI

Wed 01 Jan 2025 00:00 — Wed 31 Dec 2025 00:00

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First name*

Last name*

Phone number*

Email address*

Address*

Home Club?*

Which Course are you interested in?*

If there is anything you would like us to know? Please use the textbox provided. Max 255 characters

Emergency Contact Name*

Emergency Contact Phone Number*

Any Medical Conditions*

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