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Craig Roberts

ID:

e5043525-9a84-4468-bd48-008c462a22c1

Date of Birth:

Gender:

Male

Mobile Phone

Email:

0481130641

Phone:

Address:

Unit 5/ 201-207 Barkly street

Brunswick

VIC

3056

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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