Registration: Floriade Gang Show 2017 (Sep 16, 2017)

Floriade Gang Show participants will be required to pay a registration fee of $5.00 to secure their application. This fee covers your script, plus all associated administrative expenses.
Credit cards may be processed up to 3 weeks after the closing date.

Please note that your registration is not confirmed until you're given a registration number at the final screen that begins with FGS17 and a green tick is displayed on screen.

PARTICIPANTS INFORMATION
First Name:
Preferred Name:
Last Name:
Address:
Address 2:
Suburb:
State:
Postcode:
Email:
Confirm Email:
Phone:
Gender:
Male  Female  Other  

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

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  

Floriade Gang Details
Cast (We only require cast for this performance)

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:
Additional Comments:
Enter the Security Code:
I agree to the terms and conditions:
Read Terms & Conditions
Copyright © 2012 - Canberra Gang Show
The Scout Association of ACT Branch Incorporated (ABN 95 108 207 854)