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ABA Membership Form
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Name
*
First
Last
*
Last
Date of Birth
*
DD/MM/YYYY
Email
*
Billing Address
*
Division
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Open Mens Top 8 ($200)
Competitor Membership ($70)
Associate Membership ($50)
Vintage Bodyboard Club ($0)
Code of Conduct
*
I agree to the Australian Bodyboarding Association code of conduct
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Membership Questionarre
Name
*
First
Last
*
Last
Nickname
Age this season?
Home break?
Favourite Wave
Best Comp Result
Favourite Bodyboarder?
Favourite Manoeuvre?
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Medical Information
Please select your Medical Condtions
Epilepsy
Fainting or Dizzy Spells
Heart Condition
Ear Disorder
Asthma
Allergies
Other
Other
Please tell us any relevant information we need to know about your medical condition
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