Bricktober Junior Exhibitors Application

Exhibitor Details

Ages 6 to 16

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* 1. Exhibitor Details (Please fill in all Boxes)

First Name

Surname

Date of Birth
(DD/MM/YY)

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* 2. Exhibitor or Parent/Guardian Contact Details.
Note: All communication in relation to the application and Bricktober will be directed to the parent/guardian. (Please fill in all Boxes)

First Name

Surname

Email

Contact Number

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* 3. Emergency Contact (Please fill in all Boxes)

First Name

Surname

Contact Number

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* 4. Junior Bump-in is between 12pm and 5pm Friday the 4th of October, Car registration is required to avoid parking fees or fine. You must park in the purple bays. See MAP OF PARKING

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* 5. Exhibitor T-Shirt please select size below.