Lap Under Lights

Registration Form

Join us for a four week walking program at Ross Reserve. Have fun, meet new people and get moving while enjoying the lively atmosphere. All ages and abilities are welcome.

Dates: Monday 4, 11, 28 and 25 May

Time: 6.30pm - 7.30pm

Location: Meet at Ross Reserve Athletics Track - 9 Memorial Drive, Noble Park

Cost: Free

For any questions, feel free to reach out to the Sport and Recreation team at recreation@cgd.vic.gov.au

Question Title

1. Participant details (Required.)

Name

Age

Suburb you live in

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2. Contact details (Required.)

Email address

Phone number

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3. Emergency contact details (Required.)

Full Name

Relationship to you

Contact number

Question Title

4. Will you be bringing anyone under the age of 16 years old? (Required.)

Yes

Lap Under Lights

Registration Form

Question Title

* 1. Participant details (Required.)

Question Title

* 2. Contact details (Required.)

Question Title

* 3. Emergency contact details (Required.)

Question Title

* 4. Will you be bringing anyone under the age of 16 years old? (Required.)

Question Title

* 5. If you answered yes to question 4, please list their names and ages below.

1. Participant details (Required.)

2. Contact details (Required.)

3. Emergency contact details (Required.)

4. Will you be bringing anyone under the age of 16 years old? (Required.)

5. If you answered yes to question 4, please list their names and ages below.