SportsHub Membership

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Craig Roberts

ID:

a6237d0f-634b-4062-aef8-64cbb827a000

Date of Birth:

Gender:

Male

Mobile Phone

Email:

0498134992

Phone:

Address:

105 Old Weir Road

Murchison

VIC

3610

Postal Address:

PO Box 25

Murchison

VIC

3610

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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