Please be assured your answers will remain confidential.

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* 1. What is your name?

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* 2. What is your email address?

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

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* 3. Contact Number

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* 4. Gender

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

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* 7. Which Challenge are you registering for?

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* 8. What club or organisation are you from?

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* 9. LaTrobe University on behalf of VicHealth and GippSport will be evaluating these activities. 

Do you wish to complete the questions?  (Questions should only take 1-2 minutes)

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