Registration: Canberra Gang Show 2019 (Mar 24, 2019 - Jul 21, 2019 )

Canberra Gang Show participants will be required to pay a registration fee to secure their application. This fee covers the compulsory residential weekend, all Gang meals, plus all associated administrative expenses.

All fees will be processed on 22nd February, and this application will not be finalised until payment has been made sucessfully.

NOTE: this registration form is best viewed using Chrome. If you are using a different browser and encounter any problems, please close the form and re-try using Chrome. 

PARTICIPANTS INFORMATION
First Name:
Preferred Name:
Last Name:
Address:
Address 2:
Suburb:
State:
Postcode:
Email:
Confirm Email:
Phone:
The above details have changed since last year?:
Yes
Gender:
Male  Female  Other  

Age Section
Participants DOB (dd/mm/yyyy):
1
Age Group:
Under 18  18 and Over  

Emergency Contact 1 Information
Name:
Address:
Phone:
Alternative Phone:
Relationship:

Emergency Contact 2 Information
Name:
Address:
Phone:
Alternative Phone:
Relationship:

Scouting/Guiding Details
Movement:
Scout  Guide  Other/Helper  

Working With Vulnerable People(WWVP)
Are you aged 16 years or Older?:
Yes  
No  

Gang Details
New to Canberra Gang Show:
Yes  No  
I am available for mid-week performances:
Yes  No  
Area of Interest:
Cast  
Technical Team  
Production  
Support  
Appointed  

Medical Information
Do you use any Medical Aids:
Yes  No  
Do you suffer any ailments or conditions:
Yes  No  
Do you suffer from any Allergies:
Yes  No  
Do you have any Dietary Requirements:
Yes  No  
Will you be carrying any medication at CGS:
Yes  No  
Please describe any symptoms, treatment and specific medical information:

Optional Extras
Make a tax deductible donation to Canberra Gang Show:
Additional Comments:
Enter the Security Code:
I agree to the terms and conditions:
Read Terms & Conditions
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The Scout Association of ACT Branch Incorporated (ABN 95 108 207 854)