Registration: Canberra Gang Show 2018 (Mar 17, 2018 - Jul 22, 2018 )

Canberra Gang Show participants will be required to pay a registration fee to secure their application. This fee covers your script (Cast members), Canberra Gang Show shirt & badges, plus all associated administrative expenses.

This fee needs to be paid during the registration process and this application will not be submitted until payment has been made successfully.

NOTE: this registration form is best viewed using Chrome. If you are using a different browser and encounter any problems, please close the form and re-try using Chrome. 

PARTICIPANTS INFORMATION
Discount Code:
First Name:
Preferred Name:
Last Name:
Address:
Address 2:
Suburb:
State:
Postcode:
Email:
Confirm Email:
Phone:
The above details have changed since last year?:
Yes
Gender:
Male  Female  Other  

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

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  
I am available for mid-week performances:
Yes  No  
Area of Interest:
Cast  
Technical Team  
Production  
Support  
Appointed  

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:

Optional Extras
CGS Gang T-Shirt:
Make a tax deductible donation to Canberra Gang Show:
Additional Comments:
Enter the Security Code:
I agree to the terms and conditions:
Read Terms & Conditions
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The Scout Association of ACT Branch Incorporated (ABN 95 108 207 854)