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2018 Randwick Physie & APDA Registration
This registration is for both Randwick Physical Culture Inc and Australian Physie and Dance Association (APDA). All fees and charges will be paid to Randwick Physie, and Randwick Physie will pass on APDA registration fees on your behalf.
Member Details
Details of individual registering to become a Member of Randwick Physie
Member First Name *
Your answer
Member Surname *
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Member Email *
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Member Date of Birth *
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Age at 31 August 2018 *
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Section in 2018
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Member Phone Number *
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Postal Address *
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Suburb *
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State *
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Postcode *
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Emergency contact person name *
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Emergency contact person phone *
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Emergency contact relation to Member *
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Allergies / Medical Conditions
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TINY TOTS
Registration Fee $40.00
*APDA $40
*Randwick $0

Covers insurance, licence fees. It also includes a syllabus DVD per family.

Class
JUNIORS
Registration Fees $130.00
* APDA $80.00
* Randwick $50.00

APDA registration:
Covers insurance, licence fees, and APDA competition entry fees. It also includes a music CD and syllabus DVD per family. A late fee of $5 is imposed by APDA for any registrations received after 31 March 2018.

Randwick registration:
Goes towards hall hire, teachers wages, administration costs, Champion Girl/Lady entry, team leotards, trophies and medals etc.

Class
SENIORS
Registration Fee $140.00
* APDA $80.00
* Randwick $60.00

APDA registration:
Covers insurance, licence fees, and APDA competition entry fees. It also includes a music CD and syllabus DVD per family. A late fee of $5 is imposed by APDA for any registrations received after 31 March 2018.

Randwick registration:
Goes towards hall hire, teachers wages, administration costs, Champion Girl/Lady entry, team leotards, trophies and medals etc.

Class
LADIES
Registration Fee $140.00
* APDA $80.00
* Randwick $60.00

APDA registration:
Covers insurance, licence fees, and APDA competition entry fees. It also includes a music CD and syllabus DVD per family. A late fee of $5 is imposed by APDA for any registrations received after 31 March 2018.

Randwick registration:
Goes towards hall hire, teachers wages, administration costs, Champion Girl/Lady entry, team leotards, trophies and medals etc.

Class
Payment
An invoice will be emailed to the above email address for Randwick Physie and APDA registration and fees. By registering as a Member of Randwick Physie I agree to pay any associated charges in full by week 3 each term.
Release
By submitting your registration, you agree to give permission for Randwick Physie and APDA to use the above-mentioned Members likeness, image, photo and/or video for promotional purposes across the Associations publications, including but not limited to online (websites and social media), print, brochures, etc.
Privacy Statement
The information contained on this form will only be used for the purposes for which it was collected.
Declaration
By submitting this registration, I agree to be bound by the codes and policies of the Australian Physie and Dance Association, Randwick Physie and its Constitution.

I understand and agree that participation in classes run by Randwick Physie is at my own risk. Any accident or injury incurred at such times is in no way the fault of the Club, and is my own responsibility.

If you are submitting this form on behalf of a minor (Under 18), please complete the below:

Parent / Guardian Full Name
Your answer
Please let us know how you found out about Randwick Physie? If you're joining with a friend - tell us who and you could win a movie pass for you both!
How did you find us? *
Your answer
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