DICE Participation Membership Form

We require every member to fill out this form.

Step 1 of 2

Members Full Name*
You can find this in your confirmation email.
Address*
How did you purchase your membership?*
Are you willing to be photographed for promotional purposes? This may include web publishing and social media.*
Are you willing to be filmed for promotional purposes?*
Do you consent to a trained first aider treating you or the members if required?*
How do you want us to share our good news and success stories with you?*