Melbourne University Dancesport Club (MUDC) Membership Form 2019
Please fill out this form correctly for insurance purposes.
Salutation
First Name *
Your answer
Last Name *
Your answer
Email Address *
Please use an email that you check so that we can contact you with any issues.
Your answer
PRIVACY POLICY
Melbourne University Sport (MU Sport) is committed to observing the requirements of the Information Privacy Act. We collect your information for the purpose of providing your access to our sporting facilities and services, and it is also retained for the development of a Sports Alumni at the
University of Melbourne. By completing this form you consent to MU Sport using your information for these purposes. If, in the future you decline to be involved in the Sports Alumni, you can so advice MU Sport. You can also contact MU Sport for a copy of the Privacy Policy, or obtain a copy from www.sport.unimelb.edu.au.
Details required by MU Sport:
Mobile Number (or Home if you don't have a mobile) *
Your answer
Postal Address *
Your answer
Date of Birth
DD/MM/YYYY
Your answer
Exact Name on Facebook or a way to find you on Facebook
Only required if you are not in our facebook group already
Your answer
Student Number (if applicable)
Your answer
Association to University of Melbourne *
Membership type *
Active Member – a person who competes, trains or actively participates, Non-Active Member – a person who is a supporter of the club but not involved in competition, training or activity
Do you have any prior dance experience? (None is required) *
What kind of dance experience do you have (if any) ?
Your answer
Member Acknowledgement *
I have read, understood and hereby agree to the policies, procedures and rules of the University of Melbourne and MU Sport as they appear on www.sport.unimelb.edu.au/ClubResources
Membership Fee
Membership is not valid without payment.

Membership allows you to purchase semester passes and receive discounts on socials and other events.

Refunds will not be issued unless we are obliged to under Australian Consumer Law.

Payment Method *
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