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* 1. Full Name (Parent or Guardian)

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* 2. Email:

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* 3. Contact Phone Number:

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* 4. Kids Name:

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* 5. Kids Age:

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* 6. Are you a Member

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* 7. Member Number (If applicable)

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* 8. By registering I agree to the terms and conditions and consent to my information being added to the Brisbane Lions database to receive communications about upcoming events, special offers and club news.

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* 9. Submit photo

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