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GMVA 2021 Upwey Registration
Welcome to GMVA 2021.
Please fill out the below form to complete your registration with GMVA
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* Indicates required question
Athlete Name
*
Your answer
Athlete Gender
*
Male
Female
Athlete Date of Birth
*
MM
/
DD
/
YYYY
Athlete Mobile Phone
Your answer
Athlete Home Address
*
Your answer
Athlete School
*
Your answer
Athlete School Year Level in 2021
*
Your answer
Sign Up Length
*
Per School Term $160
Rest of the year, 2 terms, $290
PARENT INFORMATION
Parent 1 Full Name
*
Your answer
Parent 1 Mobile Phone
*
Your answer
Parent 1 Email
*
Your answer
Parent 2 Full Name
Your answer
Parent 2 Mobile Phone
Your answer
Parent 2 Email
Your answer
ATHLETE MEDICAL INFORMATION
Medicare Number
*
Your answer
Private Health Insurance Fund
Your answer
Private Health Insurance Fund Number
Your answer
Medical Conditions - Please outline any relevant conditions and details including any drugs being taken. If none, type NONE
*
Your answer
Any Allergies to anything. In none, type NONE
*
Your answer
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