Squash and Racquetball GO! Participant Registration
Location: Lilydale Squash Club, 456 Swansea Rd, Lilydale, Victoria
Date: Thursday 14th March 2019
Time: 4pm - 5pm
Contact: Meredith Hodson, 0437 236 960
Email address *
Participant First Name *
Your answer
Participant Last Name *
Your answer
Participant Phone Number
Your answer
Gender *
Required
Date of Birth (i.e. YYYY) *
MM
/
DD
/
YYYY
Has the participant ever played squash or racquetball before? *
Any medical conditions that may impact the participants ability to participate in physical activity? *
Your answer
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