Membership Sign-up

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Membership Sign-upDarwin Bushwalking Clu2021-04-16T05:55:48+00:00

Sign up

Full Name *

Phone Number *

Emergency Contact Name: *

Emergency Contact Phone Number:

Navigational Ability

I can navigate confidently with a map & compass

I have some experience with navigating by map and compass but would appreciate some guidance to improve

By checking this I am happy for my contact details to be given to leaders for assistance with future walks

I wish to *

Join or rejoin the club $40

Student/Senior Registration $25 Jul 1st to Jun 30th

I am Paying by

Cash - enclosed with completed application form and given to a walk leader or Committee member

Electronic transfer to "Darwin Bushwalking Club", Westpac BSB 035 302, AC No 385 962, including your name in the transaction

I am interested in

Day Walks

Overnight Walks

Cycling

Social Events (eg Kayaking/Canoeing)

I found out about the club from

Friend

Facebook

Current Member

Other

In submitting this form, I acknowledge that:

bushwalking involves risks and I am responsible for my preparation and conduct during walks;
I must notify the walk leader of any medical condition that may affect a walk;
the club's Handbook for Walkers and WalkSafe Policy are available on the club website; and
I am liable for any costs should I require ambulance transport or emergency evacuation.

Date *

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