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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/Masters:  $60
  Professional Unqualified:  $70
  Professional Qualified:  $65
  Affiliated (non Dancer, non Professional):  $15
  Amateur Artistic Dancer:  $15
  Main Teacher (for contact if necessary):
  Levels/Grades as at the end of 2013:
  Additional Comment:
  *I agree to the Disclaimer/Privacy Statement:  I have read and agree to the Disclaimer/Privacy Statement
  *I agree to abide by NZD&DC Rules:  I have read and agree to abide by the NZD&DC 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 12-3039-0784109-01:  deposited

After filling the details click on the SUBMIT button.
 New Zealand Dance & Dancesport Council
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