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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
*
Your answer
Surname
*
Your answer
Email
*
Your answer
Phone Number
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Club your affiliated with?
Your answer
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.
Your answer
Division
*
PARTICIPANT - please pick apparatus so we can plan rotations
COMPETITOR - select at least 4 apparatus
Apparatus - VAULT
Beginner
Intermediate
Advanced
Clear selection
Apparatus - UNEVEN BARS
Beginner
Intermediate
Advanced
Clear selection
Apparatus - HORIZONTAL(HIGH) BAR
Beginner
Intermediate
Advanced
Clear selection
Apparatus - PARALLEL BARS
Beginner
Intermediate
Advanced
Clear selection
Apparatus - RINGS
Beginner
Intermediate
Advanced
Clear selection
Apparatus - BEAM
Beginner
Intermediate
Advanced
Clear selection
Apparatus - POMMEL HORSE
Beginner
Intermediate
Advanced
Clear selection
Apparatus - FLOOR
Beginner
Intermediate
Advanced
Clear selection
Apparatus - MINI-TRAMP
Beginner
Intermediate
Advanced
Clear selection
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.
YES - of course!
MAYBE
NO
PAYMENT Method
*
Athlete Entry is $60.
DIRECT DEBT - BSB #06 3239 - Account #1025 4655. Please include; ‘Masters’ along with your ‘First Name & Surname’ in the description, so we can identify your payment and confirm your entry.
CHEQUE - Mail to; Knox Gymnastics Club Inc, 4 Mossfield Avenue, Ferntree Gully, VIC, 3156.
Direct Debit
If you do choose to pay by Direct Debt, please include the Payment description below so that we can match it up.
Your answer
Emergency Contact Number
*
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Emergency Contact Name
*
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Emergency Contact Relation
*
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