Team Name:
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Participant 1 Name:
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Participant 2 Name:
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Participant 3 Name:
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Participant 4 Name:
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Participant 5 Name:
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Contact Number:
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Contact Email Address:
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Are all participants 18 and over?
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Yes
No
By clicking the checkbox you agree that you are responsible for your medical, legal, financial or other expenses that may occur.
By clicking the checkbox you agree that representatives of Footy Promotions are not liable for any injury or accident that may occur.
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