Personal Details
First Name

Moritz

Last Name

Mueller von Saalfeld

Employer

Tesla motors

Street Address

5/471 Malvern road

City

South Yarra

State

Victoria

Post Code

3141

Phone

0458878599

Date of Birth

1997-11-19

Gender

Male

How did you find us?

Word of Mouth

Location

Tri-Alliance Triathlon Training Melbourne

T-shirt Size

LGE

Emergency Contact Name

Leah Wade

Emergency Contact Number

0411 672 529

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

Yes

Creds

Current balance22

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