ASSA Junior Registration Form

ASSA Junior Development Program Registration Form

Australian Sleddog Sports Association Inc.
- Please complete this form with our assurance that the information will be treated as confidential. It is the responsibility of the junior and their parent to notify the ASSA committee if any of the details change at any time.
- Name of Junior*
  
  First NameLast Name
- Date of Birth*
  
  DayMonthYear
  Date
- Phone Number
- Email *
  example@example.com
- ASSA Membership Number
  Leave blank if unknown
- ASSA Club
- Parents Name*
  
  First NameLast Name
- Email
- Phone Number
- The attached signature will denote that my child has my permission to be part of the Junior Development Program.
  
  I agree to notify the club of any changes.
  
  I agree to ensure my child reads through and understands the information provided in the Junior Information Documents and can also be found on the ASSA website.
- Signature – Parent/Guardian*
- Should be Empty:

ASSA Junior Development Program Registration Form