SportsHub Membership

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Craig Roberts

ID:

2c45036c-4cc8-41d9-b650-9f276e6c9071

Date of Birth:

Gender:

Female

Mobile Phone

Email:

0402 791 391

Phone:

(08) 9383 8200

Address:

12 McGillivray Road

Mount Claremont

WA

6010

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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