drilldance australia - team registration form – additions & deletions

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DRILLDANCE AUSTRALIA - TEAM REGISTRATION FORM – ADDITIONS & DELETIONS
All Team Members, Coaches, Team Coordinators and Managers must complete the relevant Code of Conduct and return with this form.
NOTE: Underage members - Initial registrations for all new members must be verified by Extract of Birth Certificate or an acceptable Proof of Age document.
How to use this form
1. click in the “Choose an item box” then click on the drop down arrow to select the data
2. type the details in the blank field
YEAR
Choose an item.
STATE
Choose an item.
CLUB
SECTION
REGISTRATION DATE
TEAM NAME
☐ U8
☐ U12
ADDING A NEW MEMBER
1. FIRST NAME
EMAIL
ADDRESS
2. FIRST NAME
EMAIL
ADDRESS
3. FIRST NAME
EMAIL
ADDRESS
4. FIRST NAME
EMAIL
ADDRESS
☐ U17
☐ Seniors
☐ Masters
SURNAME
DATE OF BIRTH
TELEPHONE
SURNAME
DATE OF BIRTH
TELEPHONE
SURNAME
DATE OF BIRTH
TELEPHONE
SURNAME
DATE OF BIRTH
TELEPHONE
DELETING A MEMBER
FIRST NAME
SURNAME
DATE OF BIRTH
FIRST NAME
SURNAME
DATE OF BIRTH
FIRST NAME
SURNAME
DATE OF BIRTH
FIRST NAME
SURNAME
DATE OF BIRTH
FIRST NAME
SURNAME
DATE OF BIRTH
Checked by State Registrar
Click here to enter a date.
☐ Yes
Date
Entered in database
☐ Yes
Date sent to DDA
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