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* 1. What is your name?

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* 2. D.O.B (only required for junior or senior membership)

D.O.B

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* 3. What is your street address?

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* 4. What is your mobile number?

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* 5. What is your home number?

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* 6. What is your email address ?

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* 7. Emergency contact person and contact number ?

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* 8. Membership Type (Membership runs for 12 months from date of purchase)

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* 9. Conditions of Entry - please indicate that you agree to ALL conditions

T