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Club Registration
This form is used to register local clubs.
Note that the results of this survey will be automatically viewable to everyone on our website
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* Indicates required question
Name of Group
*
Your answer
Description
*
140 character limit
Your answer
Contact Person
*
Your answer
Contact Method
*
This is your main method of contact.
Choose
Phone
Email
Facebook
Contact Detail
*
Phones - please use this format 0XXXX XXXXXX
Email - as normal
Facebook - Only put in the page link, nothing else please
Your answer
Is a subscription required?
*
Yes
No
Target Demographic
Under 12 years
12-17 years
18-34 years
35-65 years
65+ years
Club Address (if any)
100 character limit
Your answer
Website (if any)
Your answer
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