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Craig Roberts

ID:

6577c758-58c2-4288-83a4-94b29509b3cc

Date of Birth:

Gender:

Male

Mobile Phone

Email:

0435132222

Phone:

Address:

1105/16 Ramsgate Street

KELVIN GROVE

QLD

4059

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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