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QLD Trip 2020 - Registration

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- Step 1 of 4

Booking Email *

Please provide an email address that this application can be associated to. All payment notifications and attendance confirmations will be sent to this email address in addition to the Squadron O.C

Applicant Details

Please provide information for the attendee to the Queensland Trip in 2020.

First Name *

Last Name *

Membership Status *

Member
Non-member

Please select if the person attending is a member or a non-member.

Membership Number

Please provide the member's certificate /membership / cadet number. This starts with an "N" or a "W"

Gender *

Male
Female

Date of Birth *

Unit *

Please choose the Squadron or unit the attendee is associated with.

Residential Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Mobile Number

This is the phone number of the attendee

Emergency Details

Please provide emergency information and contact details for the attendee.

Medicare Number

Emergency Contact Name *

Emergency Contact Phone *

Medical Conditions

Please provide details of any known medical/physical conditions. Please list Disabilities, Allergies, etc and any medication required)

Dietary Requirements

Please state what foods CANNOT be eaten

Package and Options

Please select the package and options to be applied to the attendee.

Package

Apply Rebate?

Pricing for packages include the $25 rebate for league members (Officers, NCOs and Cadets) and does not apply to associates or guests of members also attending.

Additional Options

Air League Backpack
Additional Shirt
Additional Cap

In each package, attendees receive a Shirt and a Cap. Please only tick the above if Additional Shirt and Additional Cap if you want 2.

Total Cost

$0.00

Shirt Size

Please provide the shirt size for the attendee (see size chart below). Please keep in mind that shirts will be provided when attending the camp (2nd Oct 2020) and sizing can be changed later.

Phone