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Please fill in the form to register your details.

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Date of Birth*
Do you require assistance?
Have you ever competed in any other sport before?
Are you a member of your local Parafed?
Emergency Contact Name
By supporting and/or participating in the camp, I consent to my participation in interviews, surveys and the taking of photographs and videos. All information, photo or video may be edited, formatted, shared or used in a range of supported promotional materials, such as print and electronic media, including websites for providers within the New Zealand Para sport network.*
By completing the form, I am happy for my information to be shared with appropriate providers within the New Zealand Para sport network in order to receive the most relevant information about Para sport opportunities relevant to my personal interest.*

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