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