DPA Membership Application Form

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Please choose the type of membership level you'd like to apply for.

We send our members information about DPA activities, including events, our AGM, voting for the National Executive Committee, and relevant regional information.

Please share with us:

your name. For families, this is the person who will be the point of contact for your family.
two ways to contact you.
the region where you live
your preferred way to receive information from DPA.

Information that is required has an asterisk (*) beside it.

Include a submember in your membership registration

Individual (Full)

Individual (Associate)

Family (Full)

Family (Associate)

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First Name *

Middle Name

Last Name *

Address Line 1

Address Line 2

Address Line 3

City or town

Postal Code

Country

Region *

Which region do you live in?

Community and Interest Groups

Please indicate if you're interested in any of our community and interest groups. You will be added to the relevant email list.

Community and Interest Groups

Māori Members Rōpū – for DPA members who whakapapa Māori – irrespective of level of reo or understanding of culture

Disabled Women's Network – for disabled women including tāngata whaikaha and whānau hauā Māori, Pasifika, LGBTQIA+/takatāpui, and other intersections

Membership renewal

DPA memberships are renewed each year from 1 July.

To renew my membership, please: *

automatically renew my membership each year

send me a renewal form at the end of the year.

Terms and conditions

Code of Conduct acceptance *

I have read, understood and agree with DPA's Code of Conduct.

DPA's Code of Conduct is available on their website at: https://dpa.org.nz/about-us/our-guiding-documents/dpas-code-of-conduct

Privacy statement *

I have read and understood DPA's Privacy Statement.

DPA's Privacy Statement is available on their website at: https://dpa.org.nz/privacy-statement

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Include a submember

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

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