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2015-2016 Online CADTD Membership Application
Fields marked with a
*
are required fields. If it does not apply to you, please enter "N/A".
First Name
*
Last Name
*
Membership Type
*
School
Independent
Judge
Business
How many years have you been in your CURRENT position?
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
Please list ALL past dance/drill team positions (please include name of group, your title, and # of years)
*
Name of Organization (Type N/A if not applicable)
*
You are the Organization's (Select N/A if not applicable)
*
N/A
Director
Assistant Diector
Coach
Home Address
*
City
*
State
*
Zip Code
*
E-mail Address
*
Birth Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Birth Day
*
1
2
3
4
5
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8
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11
12
13
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15
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31
Select One
*
Home
Mobile
Work
FAX
Phone Number
*
Select One
*
N/A
Home
Mobile
Work
FAX
Phone Number
*
Select One
*
N/A
Home
Mobile
Work
FAX
Phone Number
*
Select One
*
N/A
Home
Mobile
Work
FAX
Phone Number
*
Are you a Competition Director?
*
Yes
No
If you are a Competition Director, please type in the name of your competition
*
New/Renewal Membership?
*
Renewal Membership
New Membership
Are you planning to pay by:
*
Check by mail
PayPal
Before clicking onto "submit," please print a copy for your records. If you are planning to pay by "check by mail," print an additional copy to include with your check. Thank you!
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