Application for New Junior Membership - Whanganui Ski and Snowboard Club

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Password^*

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Password must be at least 7 characters long.

Email^*

First Name^*

Last Name^*

Phone^*

Mobile

Date of Birth^*

Parent/Guardian^*

Please enter full name, email and phone number in case we need to contact you.

How did you hear about us?

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Billing Address

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Street Address 2

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