CHESS /BAGH CHAL REGISTRATION Form
Fill out the form carefully for registration
Name
First Name
Middle Name
Last Name
Gender
Please Select
Male
Female
N/A
E-mail
Mobile Number
-
Area Code
Phone Number
CHESS /BAGH CHAL
Please Select
BAGH CHAL ONLY
CHESS ONLY
BOTH
REGISTRATION FEE
BAGH CHAL $20
CHESS $20
BOTH $30
ACCOUNT NAME :CHESS IN ADELAIDE BSB 015343 ACC N: 465958147
DIETARY REQUIREMENTS
VEGETARIAN
VEGANS
NON VEG
Additional Comments
HAVE YOU OR ANY OF YOUR FAMILY MEMBERS VISITED OVERSEAS within the previous 14 days ( BETWEEN 01 July 2020-18 July 2020) ?
NO
YES
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