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Account Info
Email:
Confirm Email:
Password:
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Personal Info
First Name:
Last Name:
Date of Birth (DD/MM/YYYY):
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Address:
Suburb:
State:
New South Wales
Australian Capital Territory
Victoria
Post Code:
Phone:
Paddling Side:
Select One
Left
Right
Both
Weight (in Kgs):
Height (in Cms):
Dragon Boat/Paddling History (previous teams/years):
Medical History (Any current of previous conditions that may affect you while paddling:
Emergency Info
Emergency Contact:
Relationship Type:
Phone (Primary):
Phone (Secondary):
Membership Info
IBM Employee:
Yes
No
Returning Member?:
Yes
No
Shirt Size:
XXL
XL
L
M
S
Are you willing to help out with various activities for the IBM Dragon Boating Team?
Yes
No