Welcome to 2024 Family Membership

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Details

Date TBA

Pioneer High

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Name of 1st athlete*

DOB of 1st athlete*

Name of 2nd Athlete*

DOB of 2nd athlete*

Name of 3rd athlete

DOB of 3rd athlete

Name of 4th athlete

DOB of 4th athlete

Name of 5th athlete

DOB of 5th athlete

Name of 6th athlete

DOB of 6th athlete

Select tickets

Family Membership- 2 Athletes

$380.00 ea

Family Membership- 3 Athletes

$555.00 ea

Family Membership - 4 or more Athletes

$625.00 ea

Event Waiver

I hereby make application for membership of Athletics North Queensland Incorporated with the Club listed on this registration form and declare that I am eligible to participate in activities according to the eligibility laws set down by the By Laws of Athletics Australia. I agree to abide by all the Rules and By Laws of Athletics North Queensland, Memorandums, Articles and By Laws of Athletics Australia and Constitution and Rules of the World Athletics as amended from time to time. (Copies of this available on Athletics North Queensland website). I consent to undergo drug testing under the auspices of ASADA. I consent to my name and/or image being used in publications, displayed on the website/social media sites of ANQ Affiliated Clubs & Athletics North Queensland, Queensland Athletics, Athletics Australia and World Athletics.

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

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