Register member - Live Life Get Active

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About you

This information is important as it allows us to contact you for program updates or session changes.

Preferred camp
Which camp will you attend?
Your details
First name
Surname
Gender

Male

Female
Date of birth Allowed age is 18+
General
Country of birth
Are you Aboriginal?

Yes

No
Are you Torres Strait Islander?

Yes

No
Are you both Aboriginal and Torres Strait Islander?

Yes

No
Main language spoken at home if more than one
English - Proficiency
Relationship status

Married

Single
Do you have children and what age(s)?

No Children

Children under 2 years

Children 3 - 10 years

Children 10 - 18 years

Children over 18 years
Account details
Email
Confirm Email
Set your password
Mobile Number
Address
Address
Postcode
State
Suburb
Emergency contact details
Emergency Contact Name
Emergency Contact Number