First name
Surname
Your age	(We need this to get an average - for media purposes)
Address
Suburb/Town
Postcode		Phone
Email
Will you participating in the Scootaville event?	No Yes If no, click here.    If Yes - continue.
Are you a Pensioner?	Select One No Yes      (We need to know this to get group bookings for some destinations and train travel).
Are you ex or serving ADF	Please select Ex Serving No - never served.
Which Service? (Leave blank if N/A)	Please select Army Navy Airforce
If not ex-ADF, what organisation do you represent
Are you a TPI/EDI?	Select One No Yes      (We need to know this to get group bookings for some destinations and train travel).
So we can arrange power for those requiring ResMed devices or similar in order to sleep, please indicate if you will require power at night.			Select one Yes - power please No power thanks
Do you wish to be a rider, a supporter or a tag alonger			Please select Rider Supporter Tag alonger
If a Tag-along, please provide the names of all people travelling with you. Please note all persons must pay the entry fee ($200).
If a supporter how can you assist			Select one Clean up on departure Cook meals Donations collector Drive a bus General Hand Load Master Provide a bus Provide a pilot or escort vehicle Provide a ute
If supporter, are you able to provide a support vehicle			Select one Yes No
If so - what? (Leave blank if N/A)			Please select Ute Bus Ute and bus
Have you ever ridden a moped or motor bike?			Please select Yes No
Do you have a motor bike licence			Please select Yes No
Have you arranged for someone to be your bike buddy?			Please selet Yes No
If so - who?
Do you wish us to arrange train travel for your return to Brisbane?	Select one Yes No
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