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2022 Club Registration
Kedron Park Physical Culture Club 2022 Registration.
Parent/Guardian to fill out the form if participant is under the age of 18.
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Members Name *
Members Date of Birth *
Age (as of 31st August 2022) *
Email *
Contact Number *
Member Address *
How will you be paying fees? *
Pre-Existing Medical Condition *
Emergency Contact Name *
Emergency Contact Relation *
Emergency Contact Phone Number *
Previous Physie Experience? *
What club did you attend?
What age group did you last compete in?
Do you have Facebook? *
Do you give us permission to use photos for social media and advertising? *
Do you give us permission to use videos and photos on tiktok? *
I will abide by the BJP Code of Conduct (can be found in the welcome pack)? *
What is your occupation? *
How did you hear about us?
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