Are you attending this event?

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Gender

Male

Female

Unspecified

Campus*

La Trobe University Student Number*

Do you identify as Aboriginal or Torres Strait Islander

Yes

No

Have you represented La Trobe University at a Nationals competition before?*

Yes

No

Sport*

Highest Level of Sport Played* Max. 255 characters

Team Name (from highest level of sport played)*

Prior leadership experience (please list) Max. 255 characters