Full Name of New Member
Parent or Guardians Full Name
Age of New Member
New Members DOB
Any pre existing illness or injuries?
Details of illness or injury (Type, medications required etc)
Emergency Contact #1- Name
Emergency Contact #1- Phone
Emergency Contact #2- Name
Emergency Contact #2- Phone
Would you like to Participate in any RDT Displays, Competitions etc?
Do you give permission for your Child (or yourself if own Membership) to be photographed and for photos to be used for RDT Promotional purposes? (Website, Facebook, Instagram, Newspaper etc)
Preferred Method of Payment
Preferred Payment Option for Classes