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Please complete the form and a member of our team will be in touch with you.

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Medical Details – Please list any medical information the program coordinator should know about in the message box below.

Consent

I have read, understood, acknowledge and agree to the program

I hereby authorise the centre or its nominated representative to make such arrangements as are deemed necessary by the medical practitioner in the event of emergency medical treatment being necessary in respect to the registered participant

07 3399 6524

Quay St, Bulimba, QLD, 4171

www.bulimbagolfclub.com.au

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We acknowledge the Aboriginal and Torres Strait Islander owners of the lands on which we work, and pay our respects to elders, past and present. LGBTQIA+ ally, everyone is welcome here.

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