Knox Masters 2021 - Digital Entry Form
Comp Date: Sunday, 1st August, 2021
Cost: $60 per athlete
Address: 4 Mossfield Avenue, Ferntree Gully, Victoria , 3156
Contact: (03) 9758 1089 or info@knoxgymnastics.org.au
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First Name *
Surname *
Email *
Phone Number
Date of Birth *
MM
/
DD
/
YYYY
Club your affiliated with?
Athlete ID# *
This shows your insured with Gymnastics Victoria/Australia, should be the same as previous years.  If you don't know your club should be able to provide this to you.
Division *
Apparatus - VAULT
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Apparatus - UNEVEN BARS
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Apparatus - HORIZONTAL(HIGH) BAR
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Apparatus - PARALLEL BARS
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Apparatus - RINGS
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Apparatus - BEAM
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Apparatus - POMMEL HORSE
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Apparatus - FLOOR
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Apparatus - MINI-TRAMP
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Would you like to celebrate with dinner afterwards? *
We would likely head to the ‘The Club Hotel’ about a 3 minute walk from the gym. Assuming restrictions allow us.
PAYMENT Method *
Athlete Entry is $60.
Direct Debit
If you do choose to pay by Direct Debt, please include the Payment description below so that we can match it up.
Emergency Contact Number *
Emergency Contact Name *
Emergency Contact Relation *
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