Official and Founder Member of the World Dance Council

Member of World Dance Council Amateur League

Member of the Council of International Dance,
CID-UNESCO

WESTERN CAPE BALLROOM & LATIN MEMBERSHIP REGISTRATION

FOR AMATEUR DANCERS 2018 REGISTRATION
Fill in form with capital letters and please print clearly
FEE IS R90 (U/16) and R150 (O/16) per person and is due by 31 December 2017.
Where different Ballroom and Latin partnerships exist, please submit separate forms.
PLEASE MARK WITH AN X

E/CAPE F/STATE GAUTENG KZN MPUMALANGA N/CAPE N/WEST W/CAPE OTHER

Name of Ballroom School:

Name of Latin American School:

MEMBERSHIP NO

MALE PARTNER NATIONALITY SOUTH AFRICAN

SURNAME
OTHER
FIRST NAME

ID NUMBER DATE OF BIRTH

TELEPHONE FAX NUMBER

EMAIL ADDRESS

POSTAL ADDRESS CELL NUMBER

GUARDIANS NAME (IF

APPLICABLE)
I agree to abide by the rules of the South African Dance Foundation

MEMBERSHIP NO

FEMALE PARTNER NATIONALITY SOUTH AFRICAN

SURNAME
OTHER
FIRST NAME

ID NUMBER DATE OF BIRTH

TELEPHONE FAX NUMBER

EMAIL ADDRESS

POSTAL ADDRESS CELL NUMBER

GUARDIANS NAME (IF APPLICABLE)

I agree to abide by the rules of the South African Dance Foundation

PARTNERSHIP DETAILS

POINTS AS AT
SURNAME, NAME BALLROOM LATIN AGE GROUP GRADE
31.12.2017

DEPOSIT YOUR FEES TO:-

Name of Account: South African Dance Foundation
Nedbank: N1 City
Branch Code: _198765
ACCOUNT NO: 1006488707
PLEASE FAX OR EMAIL FORM & PROOF OF PAYMENT TO THE SADF ADMINISTRATOR:
Natasha Groenewald Email: sadfheadoffice@gmail.com / sadfwcevents@gmail.com

SOUTH AFRICAN DANCE FOUNDATION

Reg No: 1998/019003/08
Section 21 Company, Not For Gain
49 Jorrisen Street, 14th Floor Orion House, Braamfontein - P.O. Box 30825, Braamfontein, South Africa
Tel: +27 (0) 11 339 1000/4439, Fax: +27 (0) 11 339 7282