State Development Teams - Super Series

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* 1. What is your gender?

Female

Male

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* 2. What will your Licence Category be in 2019?

U19

U23

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* 3. What is your first name?

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* 4. What is your last name?

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* 5. Which rounds are you avaialble

	Yes	No
22nd September - Vic Park	22nd September - Vic Park Yes	22nd September - Vic Park No
6th October - Wallarroo	6th October - Wallarroo Yes	6th October - Wallarroo No
7th October - Moonta	7th October - Moonta Yes	7th October - Moonta No
20th October - Vic Park	20th October - Vic Park Yes	20th October - Vic Park No
28th October - TTT	28th October - TTT Yes	28th October - TTT No
10th November Criterium TBA	10th November Criterium TBA Yes	10th November Criterium TBA No
18th November - Criterium Murray Bridge	18th November - Criterium Murray Bridge Yes	18th November - Criterium Murray Bridge No
9th December - Criterium - TBA	9th December - Criterium - TBA Yes	9th December - Criterium - TBA No

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* 6. What Club do you ride for?

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* 7. What level are you currently racing?