SportsHub Membership

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Craig Roberts

ID:

2b3cc17c-c318-4575-a6b9-7511c9a1267e

Date of Birth:

Gender:

Male

Mobile Phone

Email:

0408857575

Phone:

0408857575

Address:

11 Pitta Court

Wulagi

NT

812

Postal Address:

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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