First Name
*
Last Name
*
Gender
*
Male
Female
Date of Birth
*
Mobile Number
*
Email Address
*
Campus
*
Sutherland Shire
Sydney South West
Busselton
School Grade
*
-- None --
Pre-school
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Emergency Contact Name
*
Emergency Contact Email
*
Emergency Contact Number
*
Life Group Leader Name
*
Preferred Area Of Service
*
Vocals
Drums
Bass Guitar
Electric Guitar
Acoustic Guitar
Keys
Previous Experience
*
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