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* 1. First Name

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* 2. Last Name

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* 3. Club

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* 4. DOB

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* 5. NSN #

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* 6. SLSNZ Membership #

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* 7. Email Address

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* 8. Cell Phone Number

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* 9. Please acknowledge you have read the following:

"If you are not registered online you will not be able to attend the course. If you withdraw your registration within a week of the course you will be charged the full price of the course"

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