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Walking Football Participant Expression of Interest
3
Questions
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1
Participant Details
*
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Full Name
Email Address
Mobile Number
Suburb you live in to assist with program location
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Female
Male
Unspecified
Prefer not to say
Please Select
Please Select
Female
Male
Unspecified
Prefer not to say
Gender
Please Select
Under 50
50 - 60
60 - 70
70+
Please Select
Please Select
Under 50
50 - 60
60 - 70
70+
Age group
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2
How did you find out about Walking Football
*
This field is required.
Email
Social Media
Word of Mouth
Flyer
Football (soccer) Club
Local Council
Other
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3
Why are you interested in participating in Walking Football?
*
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