Australian Accordion Teachers Association Inc. - Membership

New Zealand Accordion Association

Accordion Games

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Membership Application Form

First Name

Family Name

Contact Email Address

Street Address

City

State/Province

Post Code/Zip Code

Country

Contact Phone Home

Contact Phone Work

Contact Fax

Date of Birth (age classes only) dd/mm/yy

Member Type

and for the following members of my family (if applicable):

1 Family Member

First Name

Family Name

Date of Birth (if under 21) dd/mm/yy

Member Type

2 Family Member

First Name

Family Name

Date of Birth (if under 21) dd/mm/yy

Member Type

3 Family Member

First Name

Family Name

Date of Birth (if under 21) dd/mm/yy

Member Type

4 Family Member

First Name

Family Name

Date of Birth (if under 21) dd/mm/yy

Member Type

5 Family Member

First Name

Family Name

Date of Birth (if under 21) dd/mm/yy

Member Type

6 Family Member

First Name

Family Name

Date of Birth (if under 21) dd/mm/yy

Member Type

Fees

Payment Method*

Fee AU$

Messages for the Competition Secretary

By submitting this membership form, all the people listed above hereby agree to the following:

To be loyal to the Association and to be bound by the rules of the Association and its Constitution, as amended from time to time.
That the AATA and all AATA Officials accept no responsibility for any loss or injury caused to or incurred by any person attending any event of the AATA and that any responsibility shall be with the relevant venue provider.
If any person listed above is under eighteen years of age, the participant's parents or guardian have read and understood this clause.
Nothing in the above is intended to breach any legislation.

A copy of this membership form will be emailed to the contact email address given above.

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