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Nipper Carnival Entry Form
Please use this form if you wish to enter into a Carnival
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1
Competitor's Name
*
This field is required.
First Name
Last Name
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2
Contact E-mail
*
This field is required.
example@example.com
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3
Contact Phone Number
*
This field is required.
Area Code
Phone Number
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4
Gender
*
This field is required.
Male
Female
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5
What age is the Competitor
*
This field is required.
Under 8
Under 9
Under 10
Under 11
Under 12
Under 13
Under 14
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6
Carnival date
*
This field is required.
-
Date
Month
Day
Year
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7
Carnival location
*
This field is required.
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8
Events
*
This field is required.
Please choose all events you wish to be considered for
Individual Flags
Individual Sprint
Individual Surf Race
Individual Board Race
1km Beach Run
2km Beach Run
Ironperson
Individual Wade (U8)
Wade Relay (Team x 4 U8 only)
Board Relay (Team x 3 individuals)
Beach Relay (Team x 4 individuals)
Surf Teams (Team x 4 individuals)
Board Rescue (Team x 2 individuals)
Cameron Relay (Team x 4 individuals)
March Past (Team)
R and R(Team)
All Age Board Relay (Team)
All Age Beach Sprint (Team)
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9
Comments
If there is further events not listed above you wish to be entered into
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10
Terms and Conditions
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11
Check list of payment
*
This field is required.
Have you paid for this entry?
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