Queensland Esports Holiday Clinic Registration Form
December 13th 2025 | Kurilpa Hall, West End
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Which Session Are You Wanting To Choose?
*
Morning 9am - 12pm
Afternoon 12:30pm - 3:30pm
Both
Please list how many participants you are wishing to enter as well as any other details you would like to share?
Choose Your Session!
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next
( X )
Morning Session 9am - 12pm
This is the purchase of 1x holiday clinic session only (Morning)
$
1,200.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Submit
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