BRISBANE CATHOLIC BUSHWALKING CLUB INC.
(Incorporated under the Associations
Incorporation Act, 1981)
MEMBERSHIP RENEWAL 2009
|
SURNAME |
CHRISTIAN NAMES |
Date of Birth |
||||
|
Residential Address |
Skills I Have That Could Aid The Club |
|||||
|
Postal Address: |
CAR: Type, Number of Passengers & Rego |
Occupation (Optional) |
||||
|
|
||||||
|
e-mail
Address |
Home Phone |
|
Work (Optional) |
|||
|
Next of
Kin & Relationship |
Address |
Contact Number |
||||
|
Medical Conditions (including allergies &
disabilities) |
Membership Category |
Fee $ |
||||
Yes/No I do/do not want my Address & Phone Nos published in the Membership List.
(NOTE: All names are published in the membership List. If you circle “No”, only your address & phone number will not be
published, but your name will. If you are leading a Club
event, your name & phone number will be at the head of the Jilalan article.
From time to time, names are included in articles in Jilalan. Stories of our activities,
with full details including
participant’s names, and occasionally photos of people, are put on the Club’s Web Site.)
Yes/No I wish to have the Club’s monthly
newsletter “Jilalan” e-mailed to me.
Membership fees are due on the 1st
of January each year.
Un-financial members wishing to renew
during the year pay the full year’s amount. Un-financial members
cannot vote or be on Committee or Sub-Committees.
The minimum age for a Member is 18
years. See the 2nd
page for the full range of membership classes.
“Ordinary” Membership category is open only to
persons of the Catholic Faith. $35
“Associate” Membership is only open
to persons not of the Catholic Faith. $26
“Country Membership” is available to
members over 150km from
“Spouse Membership” is available to
the spouse of a member. $ 9
Renewal of Membership is automatic
upon the Treasurer receiving this fully completed Renewal Form and the
total subscription amount for your membership category.
Please Read The Important Notice Below
RELEASE, WAIVER & INDEMNIFICATION
All persons, adult or child, member
or visitor, undertake all activities of the Club at their own risk. The Club is
not even
in the position to state that all care will be taken. "The Club" on this form is the Brisbane Catholic Bushwalking Club Inc.
I, the undersigned, hereby take
action for myself, my executors, administrators, heirs, next of kin, successors
and
assigns as follows:
I waiver, release, discharge,
indemnify and hold harmless the following from any and all liability,
responsibility and
claims, for my death, disability, personal injury, property damage, property
theft or actions of any kind which may
hereafter result from my participation in any activity of the Brisbane Catholic
Bushwalking Club Inc:
The
Brisbane Catholic Bushwalking Club Inc. All members of the Brisbane Catholic
Bushwalking Club Inc.
The
Management Committee of the Brisbane Catholic Bushwalking Club Inc.
The
leader of any activity of the Brisbane Catholic Bushwalking Club Inc.
Any visitor on any activity of the Brisbane
Catholic Bushwalking Club Inc.
The
owner, resident or occupier of any place where the Brisbane Catholic
Bushwalking Club Inc. holds an activity.
The driver and/or owner of
any vehicle used in relation to any activity of the Brisbane Catholic
Bushwalking Club
Inc.
The land holder and/or
occupier of any land that the Brisbane Catholic Bushwalking Club Inc uses,
crosses over,
camps on or otherwise uses during any activity of the Club.
I acknowledge that activities of the
Brisbane Catholic Bushwalking Club Inc carry with them the potential for death,
serious injury and property loss.
I hereby assume any and all risks
associated with participating in any activity of the Brisbane Catholic
Bushwalking
Club Inc.
This form shall be construed
basically to provide a release, waiver and indemnification to the maximum
extent
possible under the applicable laws.
I hereby apply for renewal of membership
in the designated category.
I agree to be bound by the Rules and
By Laws of the Club for the time being in force.
I know I can receive a copy of the Rules and By Laws from the Secretary of the Club at any time.
I agree to behave in a socially acceptable way and am aware I can have my membership of the Club cancelled if
a General Meeting considers my behaviour not to be acceptable.
I acknowledge that I have read this form and fully understand its
contents, including the Release,
Waiver & Indemnity.
Signature: ______________________________ Date: __________________