Skipping Australia Athlete Membership Form

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Skipping Australia Athlete Membership Form - Sunday Skippers

Welcome to the 2021 Skipping Australia Membership Form. Full details, eligibility and benefits of being a Skipping Australia Member can be found https://docs.google.com/document/d/1a8sbW0TwiY_mSNVGrOb4iIwMv2bX2kPOftp65qPQTxE/edit?usp=sharing
Skipping Australia will collect membership fees via your club

Athlete First Name *

Athlete Surname *

Athlete Date of Birth *

YYYY

Athlete Gender *

Male

Female

Indeterminate/Intersex/Unspecified

Athlete home address including suburb, state and postcode *

Athlete contact phone number *

Athlete contact email address *

Emergency Contact - Name *

Emergency Contact - Phone Number *

Relationship to athlete *

Athletes Classification *

Does the athlete have any medical conditions that Skipping Australia or your club need to be aware of? *

Do you give permission for any photos or videos of the athlete to be used by your club, state/territory skipping association or Skipping Australia to be used for promotional purposes? *

Yes

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