Your contact details

Please fill out this form to become an associate member of Disability Sport & Recreation (DSR).

Associate membership is for people who don't have a disability, but support the vision, mission and principles of DSR. If you identify as having a disability, you can become an individual member instead. Membership is free.

We make sure that all membership details are kept safe. We will not give your details to anyone outside of DSR without your permission. Read our Privacy Policy: https://dsr.org.au/privacy-policy/

If you have any questions, please ring (03) 9473 0133 or email membership@dsr.org.au

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* 1. Your first name

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* 2. Your last name

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* 3. Your gender

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* 4. Your date of birth

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* 5. Your email (this is how we'll contact you)

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* 6. Your phone number

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* 7. What suburb do you live in?

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* 8. What state or territory do you live in?

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