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    DRILLDANCE AUSTRALIA Friends of DrillDance Registration Form (R4) for members of the Association not acting in any active role or capacity to register an interest only with State Associations and DDA Please print clearly and complete sections 1 and 2.

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    DRILLDANCE AUSTRALIA Friends of DrillDance Registration Form (R4) for members of the Association not acting in any active role or capacity to register an interest only with State Associations and DDA Please print clearly and complete sections 1 and 2.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    44 views1 page

    R4 - DDA Registration Form - Friends

    Uploaded by

    DrillDance Australia
    DRILLDANCE AUSTRALIA Friends of DrillDance Registration Form (R4) for members of the Association not acting in any active role or capacity to register an interest only with State Associations and DDA Please print clearly and complete sections 1 and 2.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    DRILLDANCE AUSTRALIA

    Friends of DrillDance Registration Form (R4)


    For members of the Association not acting in any active role or capacity to register an interest only with State Associations and DDA

    Please print clearly and complete sections 1 & 2 SECTION 1 PERSONAL DETAILS: (Please complete)
    NAME ADDRESS
    POST CODE

    EMAIL PHONE

    HOME MOBILE

    SECTION 2 AFFILIATION: (Please circle / complete)


    LIFE MEMBER STATE AFFILIATION CLUB AFFILIATION OTHER
    DDA DDSA DDWA DDNSW DDQ TMA DDV

    DDSA

    DDWA

    DDNSW

    DDQ

    DDV

    In applying for Friends of DrillDance membership I agree to abide by all Codes of Conduct and Policies of DrillDance Australia. I have read and understand the behaviour codes and policies available on the DDA Website www.drilldance.com.au and comprehend that any breach will result in the immediate termination of this membership.

    SIGNATURE

    DATE

    ----------------------------------------------------------------------------------------------------SECTION 3 APPROVAL: (For DDA & State Association use only)


    SEASON APPROVED BY STATE REGISTRAR APPROVED BY DDA REGISTRAR
    Name: Sign: Name: Sign:

    /
    Date:

    / /

    / /

    Date:

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