30th ACA Logo

REGISTRATION FORM

30th ACA National Clogging Convention

11th - 13th September 2026

Burnie Arts Centre, 77-79 Wilmot Street Burnie Tas.

Name:
ACA Membership:
Address:


Phone:
Mobile:
Club
Names:
Tick all levels danced:
B EI I I+ A
I will be attending:
Friday's Leaders Forum
Friday AGM
Saturday AfterParty
Email: - PUT A NUMBER IN PLACE OF 'QTY' -
ACA MEMBER - EARLY WORM SPECIAL
(until 14th September 2025)
$100
ACA MEMBER - EARLY BIRD SPECIAL
(until 31st December 2025)
@$120
ACA MEMBER
(for 1st January 2026)
@ $140
NON ACA MEMBER
@ $150
JUNIOR
(5 - 18 years)
@ $60
NON DANCER / SPECTATOR
(for security requirments insert details below)
FREE


THURSDAY NIGHT 'Trail-in Dance'
(10th September 2026)
@ $10
SYLLABUS
HARD COPY Version
@ $20
USB Version
@ $10
Tick if first convention
Total Cost
Payments:
Preferred payment option:
Direct Deposit or Bank Transfer
BSB     632-001
Acc     100243394
Acc name: 30th ACA National Clogging Convention
use surname and membership as payment reference
For other options:
(e.g. credit card payments)
Contact Sharon Hockley:
0409 127 406
Email registration form in 'pdf' format to :-
rego.aca30th@gmail.com
How to Save as PDF..
I wish to:
My club to demo
To Cue
To MC
Teach a workshop
A $20 fee will be charged for cancellations received before 31st July 2026. NO REFUNDS will be given after that date.
By registering for this event I acknowledge responsibility for personal safety while participating in all activities.