2022 Barellan Masters Games Entry Form

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'It's Never Too Late to Participate'

1) Pages 1, 2 & 13 are COMPULSORY sections
2) Pages 4-12 you complete for the SPORT(s) you're entering (you can enter more than one sport)
3) Please have your BANK DETAILS ready at the end of this submission for payment to be made
# A FULL refund will be made if the games are cancelled for Covid-19 reasons #

Email *

Last Name *

First Name *

Gender *

Male

Female

Prefer not to say

City/Town *

Postcode *

Age as of 31/12/22 *

Contact Phone Number *

Emergency Name *

Emergency Contact Number *

How did you find out about the Barellan Masters Games?

Past Competitor

Radio

Social Media

Newspaper

Poster

Word of Mouth

Friend

Selection

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