Your Details

Email Address*

First Name

Surname

Email Address

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Gender*

Phone Number

I agree that my personal information is collected by Cricket Australia and the State or Territory Cricket Associations (together, "Australian Cricket") to register me into the School Ambassador Program, and for the purposes, including the uses and disclosures of my personal information, as set out in the Australian Cricket Privacy Policy and the Australian Cricket Collection Statement.

Note: Your contact details will be emailed to the nominated School Ambassador and Regional Manager who will confirm your attendance.

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Note: Due to available resources, the Mascot Challenge program registrations will be limited. If the program is full you will be contacted by an Australian Cricket staff member.

Date of first session* DD-MM-YYYY

Please note, it will take up to two weeks to deliver resource for the Mascots Challenge program

Participants:

Classes

Total Students

Prep/Reception/Kindergarten

Year 1

Year 2

Total:

Shipping Address*

If successful, your pack will be sent to this address:

If this address above is incorrect, please enter the correct shipping address below:

Your Details Edit

Name

Email Address

Gender

Phone Number

SchoolEdit

Shipping Address

Program DetailsEdit

Date of first session

Participants:

Classes

Students

Prep/Reception/Kindergarten

Year 1

Year 2

Total

Confirm and Enter

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