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* 1. What is your name?

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* 2. What is your email address?

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* 3. What is your phone number?

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* 4. What is your local government area?

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* 5. What town do you currently reside in?

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* 6. Tell us a bit about yourself.

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* 7. What sports or physical activities are you interested in?

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* 8. How did you hear about Gippy Girls Can?

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* 9. Why would you like to be a Gippy Girls Tribe Member?

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* 10. What ideas do you have to get more women and girls involved?

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* 11. Share a photo of yourself with us!

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* 12. Do you participate in social media?
If so, please share with us your Instagram, Twitter, Facebook accounts.

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