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• First Name ^*
• Last Name ^*
• DOB

  Date of Birth
• Main Phone ^*
• Secondary Phone
• Street name and number ^*

  Residential or postal address
• City,Town or Suburb ^*
• State ^*
• Post Code ^*
• Shirt Size

  For you complimentary club shirt

  - please select -SmallMediumLargeX LargeXX LargeWomen's 8Women's 10Women's 12Women's 14
• Prefered Divers Network Area ^*

  Choose the closest group to where you live

  - please select -AlbanyBunburyCockburnDianellaFloreatFremantleGeraldton/MidwestGosnellsHillarysKarratha/Port HedlandEsperance/GoldfieldsExmouthMandurahMelvilleMidlandMindarieOcean ReefRockinghamScarboroughVictoria ParkNone
• Reasons for Joining WAUC

  Choose one or more options

  Support spearfishing in WA Competitions Trips away Meet other spearfishers Learn about spearfishing Other

  Please specify:
• How many years have you been spearfishing
• How proficient at spearfishing are you.
  Beginner Intermediate Advanced
• What level of Freedive course have you completed
  None Stage 1or A Stage 2 or B Stage 3 or C Other

  Please specify:
• Boat details

  pleases provide details of your boat if you own one
• I agree to abide by the rules of the Club ^*
  Yes No