Newcastle Ramblers - Member 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 preferred

Alternative Phone

Optional but may be tried in an emergency

Home Address*

Street Address City State / Province / Region ZIP / Postal Code

Date of Birth*

Gender*

Male
Female

Emergency Contact 1*

Name, mobile, other phone H/W - please provide two phone numbers separated by a comma

Emergency Contact 2 (needed if Contact 1 not available)*

name, mobile phone, other phone H/W - please provide 2 phone numbers separated by a comma

Members Directory*

Do you want to include your name, Suburb (not address), phone numbers, In directory available to all members

Include details
No

Email notification

I want to receive program, newsletter and activity news by email.

Yes

Use Residential Address as Postal Address*

Yes
No

Postal Address

Street Address City State / Province / Region ZIP / Postal Code

Do you have a current first aid certificate?*

Have you completed a Ramblers activity?

Give details including date of at least one activity already undertaken with the Ramblers

Name of Member

Give 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 Experience

Please indicate your experience

I 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 Ramblers

Payment Method*

Online via PayPal
Offline via EFT or arrangement

Membership Fee

Price: $ 35.00

Total

$ 0.00

Member Registration

Membership Registration