Home/Lildrops Membership Reg Form Lildrops Membership Reg Form Please enable JavaScript in your browser to complete this form.Name *FirstLastState of Origin *Date of Birth *D/M/YPhone Numbers *Sex *MaleFemaleName of CampusEmail *Residential Address *Next of Kin *FirstLastFirstLastStudents Information (students only)FirstLastStudents Information (students only) (copy) *FirstLastOther Information (Non-Students)FirstLastMy Cause at Lildrops *(Please indicate in the box above why you want to join Lildrops Initiative, and what you propose to offer both to the initiative, and other members)Name of Referral *Terms & Conditions *By submitting this form, you agree to abide by the rules and regulations of Lildrops initiative, and you agree to all the terms and conditionsSubmit
