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RISE Live Fitness Booking Form
RISE Live Booking form
Participant #1 Details
Participant's Name
*
Email (if different to caregiver)
Choose your group
*
Please Select
12 yrs-Adult (6:30-7am AEST)
7-11 yrs (7:30-8am AEST)
2-6 yrs (8:30-9am AEST)
Mature (8:30-9am AEST)
Participant #2 Details
Participant's Name
Email (if different to caregiver)
Choose your group
Please Select
12 yrs-Adult (6:30-7am AEST)
7-11 yrs (7:30-8am AEST)
2-6 yrs (8:30-9am AEST)
Mature (8:30-9am AEST)
Participant #3 Details
Participant's Name
Email (if different to caregiver)
Choose your group
Please Select
12 yrs-Adult (6:30-7am AEST)
7-11 yrs (7:30-8am AEST)
2-6 yrs (8:30-9am AEST)
Mature (8:30-9am AEST)
Participant #4 Details
Participant's Name
Email (if different to caregiver)
Choose your group
Please Select
12 yrs-Adult (6:30-7am AEST)
7-11 yrs (7:30-8am AEST)
2-6 yrs (8:30-9am AEST)
Mature (8:30-9am AEST)
Participant #5 Details
Participant's Name
Email (if different to caregiver)
Choose your group
Please Select
12 yrs-Adult (6:30-7am AEST)
7-11 yrs (7:30-8am AEST)
2-6 yrs (8:30-9am AEST)
Mature (8:30-9am AEST)
Adult/Caregiver Details
Adult/Caregiver Name
*
Email Address
*
Phone Number (no spaces)
*
Address
*
City/Suburb
*
Postcode
Country
Australia
New Zealand
United States
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
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Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
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French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Isle of Man
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
North Korea
South Korea
Kosovo
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Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other Information
Other information we need to know about the participants, such as, medical conditions, injuries, special needs etc.
Terms and Conditions
*
I agree to the
Terms and Conditions
found at
www.rise.com.au/terms
Δ
UA-62830845-1
RISE Sport
