SportsHub Membership

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Craig Roberts

ID:

a3f54f63-1ac6-473e-8891-db35dcfa5c94

Date of Birth:

Gender:

Female

Mobile Phone

Email:

0421620024

Phone:

0885822991

Address:

44B Derrick Street

BERRI

SA

5343

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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