Randwick Physie Registration 2022
Please complete your details below to register with Randwick Physie for 2022. A separate form must be completed for each member. You will also be required to complete a separate registration directly with APDA. We will provide further details in due course.

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.
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Email *
Student First Name *
Student Surname *
Student Date of Birth *
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/
DD
/
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Age on 31st August 2022 *
Parent / Guardian Name (for members under 18)
Mobile Phone Number *
Unit/Street Number & Name *
Suburb *
State *
Postcode *
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.
How did you hear about Randwick Physie? *
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