You are here

Create new account

Primary tabs

Club Membership Fees: $40 for 1 year; $60 for 2 years; $90 for 3 years. The Membership Fee covers Club Members under the Club's Public Liability and Accident Insurance Policy and the administration of the website. If you have any questions please use the "Contact Us" page.

Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Info

Title (eg Mr/Mrs/Ms/Dr) *

The content of this field is kept private and will not be shown publicly.

First Name *

The content of this field is kept private and will not be shown publicly.

Surname *

The content of this field is kept private and will not be shown publicly.

Mobile Phone Number *

The content of this field is kept private and will not be shown publicly.

Home Address Street Name and Number *

The content of this field is kept private and will not be shown publicly.

Suburb/City *

The content of this field is kept private and will not be shown publicly.

State *

The content of this field is kept private and will not be shown publicly.

Post Code *

The content of this field is kept private and will not be shown publicly.

Date of Birth if under 18 years old

The content of this field is kept private and will not be shown publicly.

Emergency Contact Name *

The content of this field is kept private and will not be shown publicly.

Emergency Contact Phone Number *

The content of this field is kept private and will not be shown publicly.

Emergency Contact Relationship

The content of this field is kept private and will not be shown publicly.

If you have a First Aid Certificate, what date does it expire?

Leave without a date if you do not have a current certificate.

The content of this field is kept private and will not be shown publicly.

Membership Type *

The content of this field is kept private and will not be shown publicly.

How You Found Out About Us *

The content of this field is kept private and will not be shown publicly.

Membership Fee Payment Details - see explanation below *

Membership Fees: $40 for 1 year; $60 for 2 years; $90 for 3 years.

You can deposit the fee electronically into the Club's Westpac Bank Account:

Name: All Nations Bushwalkers Inc
BSB: 032 006
Account: 870791

Please include the Bank Payment Receipt Number in the Membership Fee details box.

The content of this field is kept private and will not be shown publicly.

I Have Read and Accepted The Following Waiver: *

PLEASE READ CAREFULLY

Part of the Membership Fee pays for Membership in The Confederation of Bushwalking Clubs and Personal Liability and Sports Accident/Injury Insurance.

Informed consent: I agree that when participating in ANB Inc (the Club) activities, I do so voluntarily & at my own risk. I understand that some activities may be dangerous and may expose me to risk that could lead to injury, illness or death or to loss of or damage to my property. Those risks may include, but are not limited to, slippery and/or uneven surfaces, rocks being dislodged, falling at edges of cliffs or drops or elsewhere, risks associated with crossing creeks, hypothermia and heat exhaustion. To minimise the risks I will endeavour to ensure that any activity in which I participate is within my capabilities and that I am carrying food, water and equipment appropriate for the activity. I agree to advise the activity leader if I am taking any medication or have any physical or other limitations that might affect my participation in the activity. I agree to follow the reasonable directions of the activity leader and make every effort to remain with the rest of the party during the activity. I have read or heard and understand these requirements. I have considered the risks before choosing to sign this form. I still wish to participate in the activities of the Club. I agree by signing this form, to waive any claim for damages arising from my participation in Club activities that I may have against the Club, the leader or other participants in tort or contract.

I agree to abide by the Club's Constitution and Code of Conduct.

The content of this field is kept private and will not be shown publicly.

Select the newsletter(s) to which you wish to subscribe.

All Nations Bushwalkers Inc Whats Up

CAPTCHA

This question is to prevent automated spam submissions.

What country is the club based in? *

Fill in the blank.