YPDKC membership for the 2023 season

YPDKC membership for the 2023 season

You will be able to register up to 6 people (including yourself)
Your contact details

We'll start by getting your basic contact details.
Name*

First NameLast Name
Newsletters and club messages will be communicated by email and Facebook (club page or member closed page).
Email*
example@example.com
Are you on Facebook?

YesNo
Mobile*
Home phone

Area CodePhone Number
Residential address*

Street Address

Street Address Line 2

SuburbState

Post code
Is your postal address the same as your residential address?*

YesNo
Postal address

Street Address

Street Address Line 2

SuburbState

Post code

Membership summary

This is a summary of your membership based on your selections. A family membership is $140 and singles are $60 each. You won't be charged yet, there are still a few details to collect from you.
Family members
Family membership total
You are registering yourself and 2 or more immediate family members. You are eligible for a family membership ($140).
If family count is more than 3 (including main person registering), the family membership price is applied. If 1 or 2, the price is calculated on single memberships, which is cheaper.
Single members
Single membership total
Total membership cost

Emergency contact

Let us know who to contact if something happens to you or your family.
Name*

First NameLast Name
Phone*

Agreements
Code of conduct

The YPDKCI Code of Conduct Policy must be abided by at all times. The Policy is available as an electronic version or in hard-copy in the Club House Policies Folder.
Agree to the code of conduct*

I have read, understand and agree to abide by the Policy. As guardian of any registrants under 18 years (and anyone else I'm registering), I have discussed the Policy and ensured they understand and agree to abide by it.
Use of digital media

As member and guardian of YPDKC members listed on this registration form, do you consent that any club affliated with AIDKA may use any photograph taken in a positive manner for the good of sport?
Digital media consent*

I consentI do not consent
Ambulance cover

It is compulsary that all members hold current full ambulance cover or equivalent.
Ambulance cover agreement*

I agree and confirm that I/we hold adequate ambulance cover and indemnify YPDKC of any ambulance or transport costs.

Your contact details