RSL & Services Clubs

KYLC 2019 Online Application

Trek Details

Please select the Trek you are participating in *
Trek 1 (Club Industry) Monday 5th to Friday 16th August 2019
Trek 2 (Young People's) Monday 30th September to Friday 11th October 2019

Personal Details

First Name *
Surname *
Address *
Suburb *
State *
Postcode *
Email Address *
Home Phone
Mobile *
Date of Birth *
Age as at Date of Trek *
Occupation *
Passport Number *
Passport Expiry Date *
Passport Place of Issue *
Height (in cm) *
Weight (in kg) *
Sex *
Male 
Female 
Shirt Size *
XL 
XXL 
XXXL 
 
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