Next Athletics

1 Parent details Edit: First name
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Last name
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Email
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Phone
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In order to proceed, you must have read and agreed to these terms and conditions of registration. By ticking the box below, you agree that if your application for registration is accepted, you will be bound by these terms and conditions.
View our terms and conditions here

I am the parent or guardian of the applicant, and authorise, and consent to the applicant undertaking the Athletics Activities. I agree to accept in my capacity as parent or guardian, the terms set out in this registration application.

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3 Participant details Edit: {* item.variant.title *} {* index+1 *}

First name
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Last name
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Preferred name
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Gender
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Date of Birth
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What language do you mainly speak at home?
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Please specify
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T-shirt size View a size chart here
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Medical Conditions
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Does this participant have a disability, health condition or injury that has lasted or is likely to last, 6 months or more which restricts their everyday activities?
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Please describe any additional support needs your child may require
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Is this participant of Aboriginal or Torres Strait Islander origin?
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Is the listed parent this participant's emergency contact?

Yes

No

Emergency Contact Name
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Emergency Contact Phone
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5 Promo code Edit: Promo code
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{* couponCode.success.message *}

programs

{*item.total*} x {*item.variant.title*} ${* item.total * item.variant.price *}

{* couponCode.value *} Remove {* couponCode.savings *}

TOTAL ${* total_price *}

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Next Athletics acknowledges the traditional custodians of the lands on which we play, learn, and grow. We pay our respects to First Nations elders both past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today.

Parent details

In order to proceed, you must have read and agreed to these terms and conditions of registration. By ticking the box below, you agree that if your application for registration is accepted, you will be bound by these terms and conditions.

Number of participants

Participant details

{* item.variant.title } { index+1 *}

Is the listed parent this participant's emergency contact?

Parent address

Delivery

Do you have a different billing address?

Billing

Promo code

Review

Please review your registration information below.
Use the 'edit' option provided on each panel to change details.

Level 4 - Eden Hill, WA

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