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Junior Registration 2023
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* Indicates required question
Family Name
*
Your answer
Address
*
Your answer
Parent Name
*
Your answer
Parent Primary Contact Number
*
Your answer
Emergency Contact (if regular contact number is not answered)
Your answer
Parent's Email Address
*
Your answer
Number of Children To Be Registered
*
Choose
1
2
3
4
5
GP Information
Please provide the contact information for your family GP
GP Name
Please enter GP name, address and phone number
Your answer
GP Address
Your answer
GP Phone Number
Your answer
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