Entry Form
Australian Junior Chess · Championship 2019
First Name *
Your answer
Last Name *
Your answer
Gender *
Date of Birth *
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/
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Parents name(s) *
Your answer
Email *
Your answer
Phone *
Mobile/Contact Number of Parent/Guardian during Championships
Your answer
Mobile
Your answer
Home address *
Address + State + Postcode
Your answer
Medical Conditions
Medical Conditions that the organisers should be aware of
Your answer
Division *
Required
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