Randwick Physie Registration 2020
Please complete your details below to register with Randwick Physie for 2020. A separate form must be completed for each member. If you have any questions about this form, please contact us via email at: randwickphysie@gmail.com or ask your Teacher for help.

Privacy Statement:
The information obtained via this form will only be used for the purposes for which it was collected and will be shared with the Australian Physie and Dance Association (APDA) for insurance and competition registration purposes.
Email address *
First Name *
Your answer
Surname *
Your answer
Date of Birth *
Please note date format when you are completing this question (depending on your device settings, this may be in Australian or American date format)
MM
/
DD
/
YYYY
Age on 31st August 2020 *
Your answer
Mobile Phone Number *
Your answer
Unit/Street Number & Name *
Your answer
Suburb *
Your answer
State *
Your answer
Postcode *
Your answer
Full name on facebook
This field is so we can add you to our private Randwick Physie groups for quick and easy communications throughout the year.
Your answer
How did you hear about Randwick Physie? *
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