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2026/27 QA Summer - Benita Willis Shield
Sat 28 Nov 2026 13:30 - 20:30
QSAC - State Athletics Facility, cnr Kessels & Mains Roads, Nathan Qld 4111
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Are you attending this event?
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No
Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Dietary Requirements*
None
Gluten Free
Vegan
Non Dairy
Diabetic
No Onion
No Pineapple
Lactose Free
Egg Free
If your dietary requirement is not on the list above, please include everything so we can get catering correct!
What is your Accreditation level, tick all that apply.*
National Area Referee (NAR)
Bronze Referee
Silver referee
Gold Referee
National Photo Finish Panel
Bronze Starter
Silver Starter
Gold Starter
National race Walk Judge
Bronze Race Walk Judge
Silver Race Walk Judge
Gold Race Walk Judge
I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*
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