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Member Registration 2021 - A
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* Indicates required question
Email
*
Your email
Today's Date
*
MM
/
DD
/
YYYY
My child will be attending
*
Gymnastics
Cheerleading
Both
Child's Full Name
*
Your answer
DOB:
*
MM
/
DD
/
YYYY
Address (incl postcode)
*
Your answer
Contact Number
*
Your answer
Emergency Contact (relationship to child)
*
Your answer
Emergency Contact Number
*
Your answer
Email
*
Your answer
I have more than one child attending the club (includes cheer) ~ this information will only be used when checking fee payments
*
Yes
No
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