Membership Application

UWS Bushwalking and Outdoor Club

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Membership Application

UWS Bushwalking & Outdoor Club

Membership is open to anyone over the age of 18 years. We welcome family groups, however, children under the age of 18 years are the responsibility of the parent or guardian.

Visitors are welcome to attend any organised bushwalk and are also welcome to submit any ideas.

Any personal information submitted in your application will be kept strictly confidential and will not be passed on to any third party.

Today's Date (dd/mm/yyyy)
Given Names
Last Name
Email Address
Secondary email
Phone -Home
Phone -Work
Fax
Phone -Mobile
Address
Suburb
State
Postcode
Date of Birth (dd/mm/yyyy)
Gender
Student Number
IN CASE OF EMERGENCY (Contact Name)
Emergency Contact Number
Any allergies or medication required
Partner's Name
Children's Names & ages
Activities of Interest
Bushwalking
Camping
Abseiling
Canoeing
Cycling
Boating
Golf
Snorkelling
Other (please specify)
To help with advertising we would appreciate you letting us know where you heard about this club.
Internet
University
Handout Leaflet
Which Campus?
Friend
Email
Newspaper
Other (please specify)
Any other suggestions