Participant Registration
Please fill out all the spots below and you will be contacted about the next steps!
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Age *
Any injuries *
To finalise your application a participant selection deposit of $50AU is payable into the following account EMBRACE (BSB: 036-058, A/C: 035198, Reference: Your Name). *
Participant  fee is $300AU payable before the start of the weekend? Can you commit to this? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy