GET ACTIVE CHALLENGE REGISTRATION FORM

Register now to take part in the Get Active Challenge, part of the Victorian Disability Sport & Recreation Festival,
Friday 2 December, Crown Riverwalk, Melbourne.

* 1. Organisation Name

* 2. Contact Name

* 3. Contact Position

* 4. Postal Address

* 5. Phone

* 6. Email

* 8. Estimated number of participants

* 9. Age level

* 10. Is there any additional information you wish to provide?

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