2025 MDD Member Form

Membership Application

To sign up for a 2025 MDD membership please complete all questions.
Name (Use your preferred first name)*

First NameLast Name
Address*

Street Address

Street Address Line 2

SuburbState

Postal
Birthday*

DayMonthYear
Why are we asking this? So we can give you free entry in your birthday month!
Are you a returning member?*

YesNoNot Sure
If you are a returning member, what is your membership number?
Leave blank if you are new to the club, don't remember or have lost your card. We will check records for your number or assign you a new one
I understand that if I am under the age of 18, I will not be able to vote in General Meetings or Annual General Meetings. If I am over 18, I have full voting rights for the club and understand that I may vote in any decision/position being voted upon.*

Yes
I understand that if I am under the age of 18, I will be given a form to have signed by a guardian which needs to be returned to MDD Committee before I can borrow games from the library.

Yes
By signing up I agree that my photo may be taken and used for marketing purposes for the club.*

Yes - You may use images that include meNo - You may not use images that include mePlease talk to me before images are used
E-mail*
Signing Date*

DayMonthYear
Date