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SEACLIFF SPR REGISTRATION FORM - TEAM

Participant's Registration Details

SPR Event Registration(*)

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Age for Juniors is based on the eldest team member's age on event day. Age for Masters is based on the youngest team member's age on event day.

Paddle Component
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For the paddle component of the SPR do you intend to Ski or SUP?

Team Captain Information

Captain's Full Name(*)
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Captain's Date of Birth(*)
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Captain's Gender
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Captain's Vest Size
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Captain's Medical Conditions
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Team Captain's Address and Contact Details

Street
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Suburb
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State
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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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How did you hear about the SPR?
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Event Merchandise

SPR Event Hat

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Event T-Shirt - Small Logo

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Event T-Shirt - Large Logo

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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.

 

Team Member 2 Details

Team Member 2 Name
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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
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Team Member 2's Address and Contact Details

Team Member 2 Street
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Team Member 2 Suburb
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Team Member 2 State
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Team Member 2 Email(*)
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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 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

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.

Total Price
0.00 AUD

Thanks to All Our 2018 SPR Sponsors

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