Jumps in Paradise 2019 Entry Form
Please use this form to enter for Jumps in Paradise 2019 hosted by PNAHC in Palmerston North on Saturday 23 March 2019.

Please fill in this form to the best of your ability and fill in the required fields. Any contact will be made through email or text message.

We are aiming to have a light meal afterward, so please let us know if there is anything you require.

Email address *
Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Club
Your answer
Contact number *
Your answer
Event #1 *
Your answer
Season's Best *
Your answer
Event #2
Your answer
Season's Best
Your answer
Any dietary requirements
Your answer
Thank you for entering Jumps in Paradise 2019. All further information will be available through the Facebook event page.
A copy of your responses will be emailed to the address you provided.
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