Name *

First Name

Last Name

Date of Birth *

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DD

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Your best contact number *

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

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Ulladulla Physical Culture Club (UPC) Terms and Conditions *

Member Declaration - I undertake that as a registered member of Ulladulla Physical Culture Club I will participate in Physical Culture classes, competitions and associated activities of Physical Culture (BJP). Ulladullla Physical Culture Club advocates safe dance practices at all times, however does not take responsibility for injuries which may occur. Members participate at their own risk. This declaration releases the Ulladulla Physical Culture Club, its teachers, officers or members from any responsibility for any injury or loss, claim or liability whilst the member is involved directly or indirectly in Ulladulla Physical Culture Club activities. Code of Conduct and Behaviour - As a registered member I will abide by the BJP School of Physical Culture Code of Conduct available in the Club Policies section of this website. As a registered member I will respect the teachers decision and expertise. As a registered member I have the right to participate in individual and team competitions. I understand that the Teaching Team will make every effort to include all members who wish to be part of a team in accordance with numbers and BJP rules and may have to make selections based on availability and attendance. Fees - As a registered member of Ulladulla Physical Culture Club, I agree to pay the Club registration and Term Fees within 3 weeks of commencement. If I do not pay these fees, I understand I am not permitted to attend classes until paid in full. Fees are non-refundable. BJP Registration: 5 years - Ladies - As a registered member of Ulladulla Physical Culture Club, I agree to pay a fee of $99 to BjP by my third class. If I do not pay this fee, I understand I am not permitted to attend classes at Ulladulla Physical Culture Club until it is paid in full. Fees are non-refundable. Once registered with a BJP Club I understand and accept that I cannot apply for a transfer to another club after 15 March 2023 unless I have a legitimate change of residential address bringing me closer to the club I wish to transfer to, or if my present club can no longer offer a BjP syllabus class for me. Consent to Use Images and Footage - Images, sound and visual recordings, including clearly identifiable images and recordings, may be published by Ulladulla Physical Culture Club for the purposes of promotional, educational and collaborative purposes relating to Ulladulla Physical Culture Club and its related services and activities. I understand that as part of publication my first name and age group/section for BjP Classes and Competitions may be used. The communications in which the images, sound, visual recordings and information may be published include, but are not limited to, public and member websites of Ulladulla Physical Culture Club promotional material published in print electronically, and social media accounts on networks such as Facebook and Instagram. I am aware that when information is published on public websites and social media channels it can be linked to by third parties and may be discoverable online for a number of years, if not permanently. Search engines may also cache or retain copies of published information. Consent for Participation in WhatsApp Groups - Ulladulla Physical Culture Club uses WhatsApp Private Member Groups for educational and teaching purposes. These Groups are created and managed by the Club's BjP Associates for defined educational, teaching and collaborative including, but not limited to, the teaching of the BjP Syllabus, choreography, technique correction, and individual/team rehearsal/performance reviews. Images, sound, and visual recordings of participants, BjP Associates and Class Helpers, including clearly identifiable images and recordings, are published in these Private WhatsApp Groups. Inclusion in the WhatsApp Group requires the provision of a member's mobile number or an approved mobile number of the Parent/Guardian for Junior Members. This mobile number will be visible to other members of the WhatsApp Group. I am over 18, or, I am under 18 and this registration has been filled out by my endorsed parent or guardian.

I confirm that I have read and understood the Ulladulla Physical Culture Club’s Terms and Conditions of Registration in their entirety and agree to the Terms and Conditions of Registration

Consent to use Images *

I have read the ‘Consent to Use Images and Footage’ section of the Ulladulla Physical Culture Terms and Conditions and give Ulladulla Physie permission for my name and/or photo to be published in Club online and print media.

Yes, I give permission

No, I do not give permission

Consent for Participation in WhatsApp Groups *

I have read the ‘Consent for Participation in WhatsApp Groups’ section of the Terms and Conditions and understand that following successful completion of registration, the mobile number entered above under the Contact Details section of this form will be included in group contact lists for the purpose of receiving updates. These lists would include, but not be limited to, WhatsApp, FaceBook, . . .

Yes, I give permission

No, I do not give permission