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GippSport Street Games - Bass Coast Registration Form

Please be assured your answers will remain confidential.
1.Parent or Guardian's Name?(Required.)
2.What is your email address?

Please be assured your email address is only used for activity related information.(Required.)
3.Contact Number
4.What postcode do you live in? (Please enter your four digit postcode only)(Required.)
5.Child's Name(Required.)
6.Gender(Required.)
7.Year of birth?(Required.)
Year
Year
8.Please select which dates you wish to attend(Required.)