VIC'IVs
26th - 30th of July
First Name
Your answer
Last Name
Your answer
Gender
Date Of Birth
MM
/
DD
/
YYYY
Mobile Number
Your answer
Preferred Contact Email
Your answer
Discipline
Room Alocations
I have completed both a current (2017) Emergency Contact Form and a Liability Indemnity Response Form (You will not be allowed to attend this trip if these forms are not completed.)
First Payment Amount $ (deposit $300)
Your answer
Balance $ (Amount owed to LUST after First Payment)
Your answer
Total $729 Due June 1st
Your answer
Payment
Currently for online signups, we can only offer Bank Transfers.

For a direct deposit please transfer to:

Latrobe University Ski Team
BSB : 033111
ACC : 106677
Description: VICIV"your name"

Note that trip spots will not be reserved until payment is sighted.

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