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Details

Interstate Competition Clearance Request

Sun 30 Apr 2023 09:00 — Tue 31 Dec 2024 21:00

TBA

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Are you attending this event?

Yes No Maybe

First name*

Last name*

Phone number*

Email address*

Address*

Who is completing this request?*

Name of principal coach cornering

Names of any other ACT coaches attending Max. 255 characters

Names of boxers requiring clearance Max. 255 characters

Event name

Event city/suburb*

Event State/Territory*

First Day of Competition*

Any comments you want to add Max. 255 characters

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*