Health History
21. Vaccination Status - are you fully vaccinated against COVID-19?

Yes

Personal Details
First Name

fabio

Last Name

tomi

Employer

FAAC Group

Street Address

59 the crescent

City

Port Melbourne

State

Victoria

Post Code

3207

Phone

0409233689

Date of Birth

1979-07-13

Gender

Male

How did you find us?

Local Events

Location

Tri-Alliance Triathlon Training Melbourne

T-shirt Size

SML

Emergency Contact Name

chris Tomi

Emergency Contact Number

0416924805

Creds

Current balance186

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