Wentworth Shire
Name *
First
Last
I wish to register to attend *
Pooncarie Hall – Saturday 11 October
Euston Club – Saturday 25 October 2025
Anabranch Hall – Saturday 1 November 2025
* Note – Registrations through this form are not guaranteed. A confirmation message will be sent if deemed eligible. *
How many adults will accompany you? *
How many children will accompany you? *
Please Address I
Email *
Phone
Address
Address Line 1
Address Line 2
City
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Pooncarie Hall – Saturday 11 October
Euston Club – Saturday 25 October 2025
Anabranch Hall – Saturday 1 November 2025