Please be assured your answers will remain confidential.

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1. What activity are you participating in?

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2. What LGA area do you live in?

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3. What is your name? (Required.)

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4. What is your email address?

Please be assured your email address is only used for activity related information. (Required.)

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5. Contact Number

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6. Gender (Required.)

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7. Year of birth? (Required.)

  Year
Year

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8. What postcode do you live in? (Please enter your four digit postcode only) (Required.)

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9. How would you prefer to be contacted? 

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10. Are you the parent or carer of any children in your household?
This includes children over 18 years. (Required.)

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