Sandgate Swimming Club Registration Form
Contact Information
Child 1 Full Name *
Gender *
Date of Birth *
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Child 2 Full Name
Gender
Date of Birth
MM
/
DD
/
YYYY
Child 3 Full Name
Gender
Date of Birth
MM
/
DD
/
YYYY
Child 4 Full Name
Gender
Date of Birth
MM
/
DD
/
YYYY
Parent 1 Full Name *
Parent 2 Full Name
Email *
Home Address *
Phone number Parent 1 *
Phone number Parent 2
Media Release *
Required
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