IMF RAW New Member Registration Form

IMF RAW COMMUNITY MEMBERS

New Member Registration

All runners and walkers who participate in IMF RAW events and activities must complete the New Member Registration form below, which acknowledges and accepts the terms of the IMF RAW Code of Conduct.

"*" indicates required fields

RAW Community*

Name*

Address*

State*

Email*

Phone Number*

Date of Birth*

Gender*

I AM:*

My mob/tribe/country is:*

Shirt Size*

Shoe Size*

Emergency Contact*

Phone Number*

Medical Information

Do you have any physical, medical or intellectual impairment that may affect your participation in RAW group activities and events?*

If Yes, please list any current or pre-existing medical conditions you have.*

Do you have any current or pre-existing sports injuries?*

If Yes, please list any current/recurring injuries.*

Signature (Over 18 years)*

Date*

Parent/Guardian Signature (under 18 years)

Date

This field is for validation purposes and should be left unchanged.

IMF RAW COMMUNITY MEMBERS

New Member Registration

Medical Information

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Email: kylie.y@imf.org.au

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