JUNIOR REGISTRATION FORM - INDIVIDUAL

Junior registrations forms for competitors under 18 years of age must be completed by a parent or guardian who is over 18 years old. As a parent or guardian completing this registration on behalf of the junior you are accepting the terms and conditions of entry on behalf of the junior who is registering
Participants Full Name(*)
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Participants Date of Birth(*)
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Parent or Guardian Event Terms Acceptance

If participant is under 18 please provide Guardian/Parent details.
Parent/Guardian Name
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Parent/Guardian Date of Birth
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Parent/Guardian Event Terms Acceptance

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Participants Registration Details

Junior SPR Event Registration(*)

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Age is determined by the age of the competitor on event day.

Gender
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Vest Size
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Medical Conditions
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Address

Street
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Suburb
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State
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Contact Details

Email(*)
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Phone
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Emergency Contact Name(*)
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Emergency Contact Phone(*)
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Surf Club Affiliation

Surf Club Member
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Surf Club Name
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Event Merchandise

SPR Event Hat

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Event Waiver Details

Event Waiver(*)
In order to register for the Seacliff SPR you must agree to the Event Waiver.

Click Here to Read the Event Waiver.

Total Price
0.00 AUD

Thanks to All Our 2017 SPR Sponsors

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