SportsHub Membership

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Craig Roberts

ID:

ae1d40fa-bd7b-4531-bb2f-d655e9ad7b1b

Date of Birth:

Gender:

Female

Mobile Phone

Email:

0459486431

Phone:

Address:

Unit 12, 177 Mitchell Street

North Ward

QLD

4810

Postal Address:

Unit 12

177-179 Mitchell Street

QLD

4810

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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