Any person who wishes to compete in any competition that is registered with or approved by DanceSport New Zealand (DNZ) and recognised by the New Zealand Olympic Committee (NZOC) must hold a current Athlete Licence. And any person who wishes to renew a Licence approved under the DNZ Licence and Accreditation Regulations must have held a current DNZ Licence last year.The Licence is valid from 1 January to 31 December each year.IMPORTANT - PRIVACY ACT STATEMENTInformation requested within this application is required for the purpose of the holding of a DNZ Licence. This information will be kept on file by DNZ and will be used for membership to your DNZ Region. It could also be used to provide you with other dance related information. You can view this information and request it to be updated be contacting the Sports Officer.

IMPORTANT - PRIVACY ACT STATEMENT

Information requested within this application is required for the purpose of the Membership. This information will be kept on file by DanceSport Nelson and will be used for this purpose. It could also be used to provide you with other dance related information by DanceSport Nelson and DanceSport New Zealand (DNZ). You can view this information and request it to be updated by contacting the Secretary.
Name*

PrefixFirst NameLast Name
E-mail
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address (if different to above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Date of Birth*

DayMonthYear
Full Membership

Adult (16 & over) $10
Affiliate Membership

Juvenile / Junior (under 16) $5Adult (16 & over) $10Professional $20
Notes:

Full membership and associate membership is defined in Clauses 3.2 and 3.3. Professional as defined by the DNZ Licence & Accreditation Regulations (Clause 4.21).

Further Notes:

On approval of the membership application, a receipt and a membership card will be forwarded as soon as possible. A copy of the DanceSport Nelson Constitution is available by clicking here, on the website (www.nelson.dancesport.org.nz) or will be forwarded on request by the Secretary.

Membership fees are set a year in advance at the AGM, around March each year, and are due for payment the day after the AGM.
How would you like to pay this*

Cheque, posted to C/- 13 Ashcroft Place, Richmond, Nelson 7020Direct Credit or Online Banking, to Bank Account 03-1354-0105648-00
Declaration*

I agree to abide by DanceSport Nelson's Constitution
Today's Date*

DayMonthYear
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