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JUNIOR REGISTRATION FORM - TEAM

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

Parent or Guardian Event Terms Acceptance

If participant is under 18 please provide Guardian/Parent details.
Parent/Guardian Name
Invalid Input

Parent/Guardian Date of Birth
/ / Invalid Input

Parent/Guardian Event Terms Acceptance

Invalid Input

Participant's Registration Details

SPR Event Registration(*)

Invalid Input

Age is determined by the oldest team member's age on even day. If you have two 13 year olds and one 14 year old on the team you will be in the U14 - U15 age group.

 

Team Captain Information

Captain's Full Name(*)
Invalid Input

Captain's Date of Birth(*)
/ / Invalid Input

Captain's Gender
Invalid Input

Captain's Vest Size
Invalid Input

Captain's Medical Conditions
Invalid Input

Team Captain's Address and Contact Details

Street
Invalid Input

Suburb
Invalid Input

State
Invalid Input

Email(*)
Invalid Input

Phone
Invalid Input

Emergency Contact Name(*)
Invalid Input

Emergency Contact Phone(*)
Invalid Input

Surf Club Affiliation

Surf Club Member
Invalid Input

Surf Club Name
Invalid Input

Event Merchandise

SPR Event Hat

Invalid Input

Event T-Shirt - Small Logo

Invalid Input

Event T-Shirt - Large Logo

Invalid Input

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.

 

Team Member 2 Details

Team Member 2 Name
Invalid Input

Team Member 2 Date of Birth
/ / Invalid Input

Team Member 2 Gender
Invalid Input

Team Member 2 Vest Size
Invalid Input

Team Member 2 Medical Conditions
Invalid Input

Team Member 2's Address and Contact Details

Team Member 2 Street
Invalid Input

Team Member 2 Suburb
Invalid Input

Team Member 2 State
Invalid Input

Team Member 2 Email(*)
Invalid Input

Member 2 Phone
Invalid Input

Member 2 Emergency Contact Name(*)
Invalid Input

Member 2 Emergency Contact Phone(*)
Invalid Input

Surf Club Affiliation

Surf Club Member
Invalid Input

Surf Club Name
Invalid Input

Event Merchandise

SPR Event Hat

Invalid Input

Event T-Shirt - Small Logo

Invalid Input

Event T-Shirt - Large Logo

Invalid Input

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.

 

Team Member 3 Details

Team Member 3 Name
Invalid Input

Team Member 3 Date of Birth
/ / Invalid Input

Team Member 3 Gender
Invalid Input

Team Member 3 Vest Size
Invalid Input

Team Member 3 Medical Conditions
Invalid Input

Team Member 3's Address and Contact Details

Team Member 3 Street
Invalid Input

Team Member 3 Suburb
Invalid Input

Team Member 3 State
Invalid Input

Team Member 3 Email
Invalid Input

Member 3 Phone
Invalid Input

Member 3 Emergency Contact Name
Invalid Input

Member 3 Emergency Contact Phone
Invalid Input

Surf Club Affiliation

Surf Club Member
Invalid Input

Surf Club Name
Invalid Input

Event Merchandise

SPR Event Hat

Invalid Input

Event T-Shirt - Small Logo

Invalid Input

Event T-Shirt - Large Logo

Invalid Input

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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