Register with Magnetic Island Swim

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First Name *:
Last Name *:
Email *:
Address *:
City *:
Country *:
Post Code *:
Gender: M F
DOB *:
Mailing Address *:
Mobile phone:
T-Shirt Size *:
Qualification *: I take responsibility for; and will provide demonstrated evidence of my previous swimming experience/ability/preparation for the race.
Items marked with a '*' are mandatory.