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Wāhine on Water Rārangi
Collection of details before the day. All instructors, helpers and candidates who would like to attend need to fill out this form.
* Indicates required question
Full name
*
Your answer
Club
*
Your answer
Who are you for this event?
Add your instructors name in 'other'
I would like to instruct/help out at the event.
I am a candidate wanting to participate in the event
Other:
Clear selection
SLSNZ number
Your answer
Contact Mobile
Your answer
Contact Email
Your answer
Emergency Contact details
*
Name, phone number and relationship to you
Your answer
Do you have any medical conditions, injuries or allergies
*
Please describe in 'other'
No
Other:
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