"*" indicates required fields Your Personal DetailsFull Name* Gender* Male Female Rather Not Say Date of Birth* DD slash MM slash YYYY Your Address* Street Address Town/Suburb State Postcode Contact Phone*Email Address* Father's Name (if under 18) Mother's Name (if under 18) Can your parent help out? If so, please provide best phone number Membership DetailsMembership Fee: $100 inc. GST PAPlease note: You can only sign up for a maximum of 2 divisions.Division (please tick)* Grom - Under 14 years Cadets 14 years - Under 16 years Junior 16 years - Under 18 years SOCIAL ONLY (non-competitive) Criteria e.g: Under Age Divisions: Under 14 - you need to be under 14 years old or younger as of the 31st December 2022The following divisions are now full: Open Men Open Mens Open Womens Masters - 35+ years Grand Masters - 45+ years Open Drop Knee T-Shirt Size* XS S M L XL 2XL Registration fee covers: All monthly comps, 12 months PI and PL insurance, incorporation fee, Club T-Shirt, and Club sponsors discounts. Social ONLY (non-competitive) Membership Fee: $50 inc. GST PA Registration Fee covers:12 months insurance and incorporation fee, Club T-Shirt and Club sponsors discounts. Liability WaiverPlease confirm you agree with the statements below. I understand and acknowledge that surf activities are dangerous and that there are inherent risks, which may result in serious injury to myself. Additionally, waves/ocean can act in a sudden and unpredictable (changeable) way. I declare that I have the experience and skills required for the surf event activity. I declare that I do not have any medical or physical conditions that would affect my participation in the activity (e.g. asthma, previous broken bones, dislocated joints, diabetes, allergic reactions, wear contact lenses/hearing aids, any disabilities etc.) I agree not to drink alcohol or take prohibited drugs before or during surf activities. I understand that my signature to this document constitutes a complete and unconditional release or all liability of the Committee of the Club, Surfing Australia and its' employees and agents to the greatest extent allowed by the law in the event of me and/or the children under my care, suffering injury or death. I authorise the Club to arrange medical or hospital treatment as necessary and I agree to pay for all associated costs. I authorise the Club to film me surfing and that the footage taken to be used to promote the Forster Bodyboarding Club on social media and movies. I make myself available to represent the Forster Bodyboarding Club at all inter-club levels. Consent* I agree with the above statements.Emergency Contact DetailsContact Name* Contact Phone Number*Medical Info/Conditions (if any)Member Signature*(Parent or Guardian must sign if competitor is under 18 years)Parent/Guardian Name Date* Payment DetailsMembership Price*Please select oneFull MembershipSocial MembershipActive Kids VoucherCredit Card Processing Fee* Price: Amount to Pay Pay with Credit Card*Card Details Cardholder Name Help us to prevent spamEmailThis field is for validation purposes and should be left unchanged.
