2025 Central Qld Apda Club Registration Form.

Central Qld Apda Dance Inc 2025 Club Registration Form

Please Note: Official APDA Registration is done separately. This link will be sent to members when registrations open in 2025.
Member Full Name*

First NameLast Name
Member Date of Birth*

DayMonthYear
Date
Member Age as at 31 August 2025.*
Member/Contact 1 - Address*

Street Address

Street Address Line 2

CityState

Postcode
E-mail*

Confirmation Email
Contact Mob/Phone Number*
By Signing this registration form you agree to follow and adhere to Central Qld Apda Dance Inc 2025 Fee Structure & Conditions. (Sent out in member information pack) You also agree to follow the Australian Physie and Dance Code of Conduct, Member Rules & Social Media Policy. (These can be found at cq-physie-dance.com and physieanddance.com)
Member Signature for Registration or Parent/Guardian Signature*
Please type parent name in full here
Permission for Central Qld APDA Dance Inc to print daughter’s/member’s photo(s) on publications(Eg flyers, brochures, programs).*
Permission for Central Qld APDA Dance Inc to post daughter’s/member’s photo(s) on website or social media.*
Member Signature required for permissions or Parent/Guardian signature *
please type parent name in full here
Privacy Statement
APDA is committed to providing you with the highest levels of membership service. This includes protection of your privacy. We are bound by the sections of the Commonwealth Privacy Act (1988) which sets out principles concerning the protection of individual’s personal information. For further information, please refer to APDA’s Privacy Policy or contact us at info@phsyieanddance.com

Central Qld Apda Dance Inc 2025 Club Registration Form

Central Qld Apda Dance Inc Being Covid Safe in 2025