2019 SRC/Bronze Camp Enrolment
Timing: 16th, 17th, 18th, 19th & 20th December 2019
Event Address: Brighton LSC
Contact clubsupport@brightonlsc.com.au

(For successful candidates who meet the prerequisite criteria, members can complete their IRB Crew Award following the successful completion of the Bronze Camp on December 21st, 22nd and 23rd).
Participant's Full Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Which award do you want to gain *
Date of Birth *
Month/Date/Year
MM
/
DD
/
YYYY
Home address
Your answer
Are you a current member of Brighton LSC *
Guardian contact Name & Relationship *
Your answer
Guardian Contact Phone Number *
Your answer
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