Registration, registrar

Registration Form
After filling the details click on the SUBMIT button.

*indicates required fields

*Full Name:

*Postal Address:

*Phone Number:

*Email Address:

Registration Number (if known):

Juvenile:

$30

Junior:

$30

Youth/Adult/Master:

$60

Professional Unqualified:

$70

Professional Qualified:

$65

Adjudicator Licence:

0.00

Affiliated (non Dancer, non Professional):

$15

Amateur Artistic Dancer:

$15

Pro/Am Amateur Registration:

$10

Levels/Grades as at the end of last year:

*I agree to the Disclaimer/Privacy Statement:

I have read and agree to the Disclaimer/Privacy Statement

*I agree to abide by NZBDC Rules:

I have read and agree to abide by the NZBDC Rules

*Is this a new Registration:

Yes
No

If this is a new Registration, what is your DOB?:

Paid by Cheque to P O Box 301317, Albany 0752:

posted

Paid by DC to 06-0266-0177831-01:

deposited

*Date of Birth:

Additional Comment:

Main Teacher:

After filling the details click on the SUBMIT button.

New Zealand Ballroom Dance Council