Membership Registration Name* First Last Email* Website Username*Please give yourself a username for accessing the members content of our website.Primary Phone*A mobile number is preferredAlternative PhoneOptional but may be tried in an emergencyHome Address* Street Address City State / Province / Region ZIP / Postal Code Date of Birth* Date Format: DD slash MM slash YYYY Gender*MaleFemaleEmergency Contact 1*Name, mobile, other phone H/W - please provide two phone numbers separated by a commaEmergency Contact 2 (needed if Contact 1 not available)* name, mobile phone, other phone H/W - please provide 2 phone numbers separated by a commaMembers Directory*Do you want to include your name, Suburb (not address), phone numbers, In directory available to all members Include detailsNoEmail notificationI want to receive program, newsletter and activity news by email. Yes Use Residential Address as Postal Address*YesNoPostal Address Street Address City State / Province / Region ZIP / Postal Code Do you have a current first aid certificate?*YesNoHave you completed a Ramblers activity?Give details including date of at least one activity already undertaken with the Ramblers Name of MemberGive name of a Ramblers Club member who knows you and can provide a recommendation in support of your application.I have read 'Bushwalking with the Ramblers'*Click here to download Bushwalking with the Ramblers. Prospective members are asked to read the Club's manual 'Bushwalking with the Ramblers' before they join the Club. Yes Bushwalking ExperiencePlease indicate your experiencenonelimitedmoderateextensiveI have read and understood the risk waiver, please print sign and email this form*Click here to open the risk waiver. Yes How did you find out about the Ramblerscamping/adventure storewebsitefriendotherPayment Method*Online via PayPalOffline via EFT or arrangementMembership Fee Price: $ 35.00 Total $ 0.00 Member Registration admin December 15, 2013