GET ACTIVE CHALLENGE REGISTRATION FORM

Register now to take part in the Get Active Challenge, part of the Victorian Disability Sport & Recreation Festival,
Friday 2 December, Crown Riverwalk, Melbourne.

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* 1. Organisation Name

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* 2. Contact Name

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* 3. Contact Position

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* 4. Postal Address

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* 5. Phone

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* 6. Email

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* 7. Challenge session

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* 8. Estimated number of participants

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* 9. Age level

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* 10. Is there any additional information you wish to provide?

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