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Blind Cricket - Register, Participate and WIN
This form is for participation in the Victorian Blind Cricket Association's Term 3 Cricket Program and Prize Giveaway for school aged students. Entries will close and prizes will be drawn from Wednesday the 22nd of September, 2021.
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* Indicates required question
Which Program is the Participant Registering Through?
*
If you received this entry form link from another individual who has already registered, please select "Other" and then in the blank space, please provide that person's name.
Support Skills Program
Statewide Vision Resource Centre Bulletin
Vision Australia Feelix Library
Guide Dogs Victoria
Blind Sports & Recreation Victoria
Facebook
Other:
Participant Details
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Location
*
Your answer
Contact Details
Phone
*
Your answer
Email Address
*
Your answer
Which Statement Best Describes the Participant?
*
The Participant is 17 years of age or younger
The Participant is 18 years of age or older
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