Want this space?
Tell me more

membership registration

membership (2015/16)

Fields marked with are required. 

First name
Last name
Email address
Date of birth
Sex
Address
Suburb
Town/City
Phone
Phone 2
Grade (this season)
Emergency contact
Emergency contact phone
Willing to volunteer
Recurve
Longbow
Compound
Senior membership
Junior membership
Family membership
Family members (name and age, family membership only)
Comments
Verification
Please enter the following text in the space below

WHY?
Terms and Conditions

Membership fees: Junior $20; Senior $30; Family $60
Fees from October 1st to September 31st calender year
Online payments through direct debt to 15-3956-0566539-00 (TSB) or deposit at branch near you. Use members surname. initial as reference

I agree to abide by the Egmont Archery Club Code of Conduct.
Waiver and release statement: In consideration of acceptance of my entry I hereby waiver all claims of any nature whatsoever and I will not hold the event organisers, sponsors or any other person involved with the event liable for any loss, damage or injury to person or equipment (including negligence) incurred during the event.

I accept
Your message or advert here
Only $95 for two months