Membership Application

Club Membership Request Form

Please complete all fields of the application form.

Full Name *

Date of Birth *

Home Phone *

Work Phone *

Mobile Phone *

Email *

Address *

Emergency Contact

Name *

Phone(s) *

Relationship to Self *

How did you hear about the club?

Website Church Friend

Other:

Acknowledgement and Waiver *

I have read & accept the Acknowledgement and Waiver at the bottom of this form.

How have you paid the application fee? *

EFT Cheque

Other:

^{* Required Field}

Please note that your membership application will not be processed until the club has received the application fee of $40. Full time students under 22 years, $20.00.
This covers you for the current calendar year unless, if joining after 1st October membership will be financial to the end of the following year.

Payment method:
Cheque / Money Order – Payable to “Catholic Bushwalking Club Inc.”
EFT Transfer - Account details:
BSB: 032828
Account No.: 265355
Account Name: Catholic Bushwalking Club Inc.
Ref: Your Name

Acknowledgement and Waiver

The Catholic Bushwalking Club Inc (Club) advises that many of the Club's activities require appropriate physical fitness, competence and adequate equipment and may involve an element of risk.

Participants in any Club activity do so voluntarily and in the knowledge of the fitness, competence and equipment required and fully understanding and accepting the risks involved.

All participants acknowledge that they take part in such activities at their own risk and will hold none of the Club, the leader(s), others involved in organising or assisting with the activity or any of the other participants in an activity responsible for any death, injury or loss that may result to them or to others through participation in the activity whether due to negligence, misadventure, accident or otherwise.

Those inviting visitors on activities or allowing (deliberately or otherwise) details of Club activities to be available to others indemnify the Club and agree that in doing so they have made the terms of this Acknowledgement and Waiver clear and that those participating in an activity as a consequence do so in full acceptance of this Acknowledgement and Waiver.

The Club, its leaders, those assisting in organising and those participating in an activity may, to the fullest extent permitted by the law, rely on this Acknowledgement and Waiver as a bar or limitation to any claim for death, injury or loss that may result from participation in such activity.

By returning this form and/or paying your annual fees you warrant that all of the information you have provided is both complete and correct and you agree, both for yourself and for those you may invite as visitors, to the terms of this Acknowledgment and Waiver.

Membership Application

Club Membership Request Form

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