REGISTRATION FORM 2026

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

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