Required fields are marked with an asterisk (*).

Entry form
Date of birth *
Quad bike safety message used
Parent/guardian consent
I have read and agree to the competition’s terms and conditions and give my permission to SafeWork NSW to use my child’s name and competition entry and any other information I provide in connection with the ‘Quad bikes are not toys – keep kids safe’ competition.

The personal information submitted via this form will be held and used by SafeWork NSW in accordance with their privacy statements. *
Date (DD/MM/YYYY) *

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