NZCA Membership Application

Address

Email
example@example.com
Phone Number

Area Code Phone Number
Gym/Company Name
Years in Operation
Number of Employees
Number of Customers/Athletes
Entity Type

Gym Vendor Event Producer Individual
Membership Type Sought

FREE Membership- No Voting Rights PAID Membership- $10 per athlete per annum, voting rights per NZCA Constitution
ACKNOWLEDGMENT

I confirm I am authorised to apply for the membership sought above.

I understand that to acquire voting rights, I need to become a paid member. I acknowledge becoming a paid member gym costs $10/per athlete per annum. When new athletes join I will contact the NZCA and pay any further registration fees owing within 28 days. I confirm all payments will be made to the NZCA Bank Account: ASB Bank 12-3085-0367795-00 and understand that I do not have any voting rights if any monies are owed.

I understand that photographs may be taken of my gym/shop/event that could be used to promote cheerleading and/or the NZCA.

I agree to follow all rules, regulations, policies and procedures as may be set by the NZCA from time to time.
Should be Empty: