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Jackpot Entry Form
Jackpot Entry Form
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Age at 30/06/2022
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Mobile Number
*
Your answer
Home Park
*
Your answer
*
Male
Female
Gender
Male
Female
Gender
Select Divisions you are entering
Column 1
Under 12 Sharks Boys
Under 12 Sharks Girls
Under 16 Sharks Boys
Under 16 Sharks Girls
Under 12 Boys
Under 12 Girls
Under 16 Boys
Under 16 Girls
Amateurs
Wake Skate
Open Men
Open Women
Old Farts
Pro Women
Pro Men
Column 1
Under 12 Sharks Boys
Under 12 Sharks Girls
Under 16 Sharks Boys
Under 16 Sharks Girls
Under 12 Boys
Under 12 Girls
Under 16 Boys
Under 16 Girls
Amateurs
Wake Skate
Open Men
Open Women
Old Farts
Pro Women
Pro Men
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