SportsHub Membership

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Craig Roberts

ID:

0150dd7c-9da8-4a7c-9233-35057c1ecff5

Date of Birth:

Gender:

Male

Mobile Phone

Email:

0400148128

Phone:

Address:

61 Towers Street

Charters Towers

QLD

4820

Postal Address:

Same as above

Emergency Contact

Cultural Background

Country of Birth

Main Language spoken:

Country of Citizenship

Torres Straight Islander

Aboriginal

Clothing

Shirt Size

Short Size

Swimwear

Hat Size

Medical Conditions and Medications

Dietary Requirements

Membership

WWCC Completed

Member Notes

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