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Lorne SRC Summer Intensive Program (u14s) Registration 2023/24
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Email
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Your email
Parent/Carer 1 Full Name
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Your answer
Parent/Carer 2 Full Name
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Your answer
SRC First Name
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Your answer
SRC Surname Name
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Your answer
SRC Date of Birth
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Mobile Number
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We ask for your mobile so that we can send you SMS messages about Nippers
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Email Address
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Has your child taken part in Nippers before?
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Nippers Intensive
Nippers Squad
Competition Team
Required
Swim Proficiency Forms
Please download the swim proficiency form, and email it to nippers@lornesurfclub.com.au by 1 November.
Download the Swim Proficiency Form
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What are the names of family members who are willing to volunteer? and what are they willing to do?
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A copy of your responses will be emailed to the address you provided.
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