2022 Member Registration

2025 Member Registration
Personal & Contact Details

Please complete one form per member.
Members Name:*

First NameLast Name
DOB:*

DayMonthYear
Age (as at 31st August 2025):*
Your age determines which physie class you will be in.
Email:*
Please enter a valid email address.
Phone Number:*
Please enter a valid phone number.
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Which school do you attend?
Only required for junior students aged 4-16yrs.
Emergency Contact 1:*

Full NameContact Number
Emergency Contact 2:

Full NameContact Number
Where did you hear about us?*

Returning MemberWord of mouthNewspaperGoogleFacebook/other social mediaFlyerOtherSchool newsletter
Please list any siblings or immediate family members also registering with RCP (if applicable):
Please list any pre-existing medical conditions/injuries or allergies. If you have none, please type 'none'. *
We may contact you for further information where required.
Have you done physie before?*

YesNo
If you have done physie previously (outside of RCP), please let us know which club you last attended and the year you last competed.
Do you have a business/skill that might be of interest to the club?
Only applicable to adults.
Terms & Conditions

All members under the age of 16yrs are required to have a parent/carer sign this form. Please carefully read all sections below, before selecting 'I agree'.
If my contact details change throughout the year, I will inform the club via email as soon as possible. *

I agree.
I understand that for child safety reasons, any paper (class notes etc) or digital (email or otherwise) correspondence from RCP, may not be shared on any social media platform.

I agree
If I wish to withdraw from classes at RCP during the 2025 physie year, I will inform the club via email. I understand that class fees and registration will not be refunded.*

I agree.
The registration fee covers all regular scheduled lessons per week in accordance with the standard timetable. I understand that extra/private lessons made available to me will incur an extra cost.*

I agree.
The 2025 syllabus and music used in class have been supplied by BJP and are covered by copyright laws. I will not endanger the clubs access to use BJP media by making copies for my own use or distribution elsewhere.*

I agree.
Please follow this link to read the BJP member’s, parent and spectators Code of Conduct: https://physicalculture.com.au/code-of-conduct/. I agree to follow the Code of Conduct and acknowledge that failure to follow it may result in immediate loss of membership.*

I agree.
I understand Redcliffe City Physie is a sport that requires full participation. I agree to attend performances and competitions throughout the year.*

I agree.
I agree to wear the correct class and competition attire to all lessons and competitions, as outlined on the RCP website.*

I agree.
On occasions, photos or videos are taken of club members and supporters. Do you allow your/your child’s photo to be taken and/or used in paper format publications (newsletters, newspapers, flyers, ect) AND in online format publications (club website, social media, ect)?*

YesNo (I understand that not giving my consent may result in me/my child missing out on club & class photos).
Signed:

Clear
Date:

DayMonthYear
Date
Thank you for registering with RCP!

We can't wait to build strength through dance with you.
***ADMIN ONLY***

Please don't complete this section.
Email added to contact list:

YesNo
Instalment one paid:

YesNoPayment planN/A
Instalment two paid:

YesNoPayment planN/A
BJP Registration paid:

YesNo
RCP Members Platform password sent:

YesNo
Should be Empty:

2025 Member Registration

Personal & Contact Details

Terms & Conditions

Thank you for registering with RCP!

***ADMIN ONLY***

ADMIN ONLY