Are you attending this event?

Yes No

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

National Member Number*

First name*

Last name*

Mobile*

Gender*

Male

Female

Non-binary

Weight (enter '0' if volunteer)*

Participation*

Paddle

Sweep

Drum

Team Manager

Preferred paddle side*

Left

Right

N/A

Can you paddle either side*

Yes

No

N/A

Do you want to car pool*

Yes

No

Suburb - for car pooling

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