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MEMBERSHIP FORM 2017

Fencing Experience:  

MEMBER DETAILS
Given Name:     Family Name:
Gender:     Date of Birth:
Postal Address:
Suburb: Postcode:
Phone - Mobile: Home: Business:
Email Address:

ELIGIBILITY Please indicate ONE eligibility that best fits your connection to the University of Melbourne
Student Number:

Staff Number:
Student Number:
Course:
University:
University:

ACKNOWLEDGEMENT

I have read, understood and hereby agree to the policies, procedures and rules of the University of Melbourne and MU Sport as they appear on www.sport.unimelb.edu.au/ClubResources.



PRIVACY POLICY

Melbourne University Sport (MU Sport) is committed to observing the requirements of the Information Privacy Act. We collect your information for the purpose of providing your access to our sporting facilities and services, and it is also retained for the development of a Sports Alumni at the University of Melbourne. By completing this form you consent to MU Sport using your information for these purposes. If, in the future you decline to be involved in the Sports Alumni, you can so advice MU Sport. You can also contact MU Sport for a copy of the Privacy Policy, or obtain a copy from www.sport.unimelb.edu.au.