Registration Form

Please complete the form below and make your payment to 06-0266-0177831-01

Full Name

Date of Birth

Is this a New Registration

Yes

No (Please add your registration number in the message section)

Contact Number

Address

Email

Choose your category:

Juvenile $15

Junior $15

Youth/ Adult/ Master $30

Professional Qualified $65

Professional Unqualified $70

Adjudicator License $0

Affiliated (non Dancer

Amateur Artistic Dancer $7.50

Pro/Am Amateur Registration $10

Main Studio & Main Teacher

Additional Message:

I agree to the Disclaimer/Privacy Statement, and abide by NZBDC Rules

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