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Mt Gambier and Ewens ponds snorkeling waitlist
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Details
Date TBA
AA No location
Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Name as it appears on messenger so we can add you to a group chat
Please indicate what gear you require from the club*
Tent
Sleeping bag
Mat
Cooking equipment
Snorkel
Fins
Wetsuit
I have all my own gear
What is your transport situation?*
Please select...
I require transport
I can transport myself only
I can transport myself and 1 other
I can transport myself and 2 others
I can transport myself and 3 others
I can transport myself and 4 others
Emergency contact name*
Emergency contact number*
Do you have any medical conditions we should be aware of?
What is your previous snorkeling experience?*
Lots
have snorkeled before
strong swimmer
can swim
can't swim
I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*
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