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Attendance Request
Attendance Request Form
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*
" indicates required fields
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Request Number
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Event Number
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Date recieved
*
MM slash DD slash YYYY
Contact Details
Your Contact Details
*
Your Last Name
*
Club
*
Your Club
Ballarat
Barwon
Bendigo
Dandenong Casey
Echuca Campaspe
Melbourne Eastern Ranges
Melbourne Inner East
Melbourne North
Melbourne Southern
Melbourne West
Ovens Murray
Westernport
SOV State Committee
Other
Position in Club
*
Position in Club
President
Vice President
Secretary
Treasurer
Public Officer
Chair
Vice Chair
Events Coordinator
Committee Member
Other
Other Club - Please Specify
Other Club Position - Please Specify
*
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Address
Your Phone
*
Your Email
*
SO Club Event Coordinator
*
First
Last
SO Club Event Coord Phone
*
SO Club Event Coord Email
*
Organiser
Attendance / Event Details
Start Date & Time
*
End Date & Time
*
Event Name & Venue
*
Venue
*
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Sports Involved
*
Athletics
Basketball
Bocce
Cricket
Dance
Equestrian
Football (Soccer)
Golf
Gymnastics (Artistic)
Gymnastics (Rythmic)
Netball
Power Lifting
Sailing
Swimming
Table Tennis
Tennis
Bowling (Tenpin)
Alpine Skiing
Snowboarding
Other
Other Sport
Number of athletes attending
*
Number of Spectators / others expected
*
Do you want a Torch Run?
*
Yes
No
Is the Torch Run expected to take part on a Roadway?
*
Yes
No
Do you require a cauldron?
*
Yes
No
Will the event be held Indoors or outdoors?
*
Indoors
Outdoors
Do you require LETR to speak at the Opening Ceremony?
*
Yes
No
Do you require LETR to present at the medal presentation?
*
Yes
No
Anticipated time for medal ceremony?
Hours
:
Minutes
AM
PM
AM/PM
Additional Information
Additional Information that may assist
Please include any other relevant details that may support your request
Attach Order of Events
Please attach order of events if available
Max. file size: 29 MB.
Image for Event Thumbnail (optional)
If you would like to request an image be used as the event thumbnail, please upload it here.
Accepted file types: jpg, png, jpeg, gif, Max. file size: 10 MB.
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