New Membership Application – Gold Coast Outrigger Canoe Club

Please provide one application per new membership. Use the ‘Start another application’ button (at the bottom of the page) if you wish to restart your application, or to start an additional application once you have submitted the one you have completed. The Submit button will become available once all required information has been entered for your application.

New membership application - online form

One application is required for each new member

Step 1 of 5 - Applicant personal details

Full name*
Address*
Street Address Address Line 2 City/Town State Postcode Country
Email*
Provide an email we can use to contact you. This should be a parent's email for juniors.
Home Phone
Mobile
Date of birth*
Date of birth is required for age grouping
YYYY slash MM slash DD
Gender*
Is a parent applying on behalf of a junior?*
If you are a parent or guardian applying on behalf of a prospective junior member, any consents and acknowledgments are assumed to have been provided by you.
- No
- Yes I am the parent/guardian of the prospective junior member
Are you also the emergency contact?*
For parents applying for junior applicants - are you to be the first contact for the club in case of an emergency regarding the junior?
- Yes
- No
Your Name*
Name of parent or guardian
Your phone number
Your phone number if different from those provided above

Emergency contact name*
The person the club will contact in an emergency
Emergency phone number*
Please provide an available phone number
Alternative emergency phone number
No additional contact details required.

Are you a competent swimmer?*
To meet AOCRA safety requirements, we are required to ensure member swimming competency through certification or testing. members must be able to complete a 400m swim.
- Yes
- No
Do you suffer from any medical conditions?
- Yes
- No
Medical Conditions, treatments and periods
Add details of any medical conditions, their treatments, and time periods of those conditions
On-water safety*
If required based on your responses above, the club registrar will discuss any issues with you prior to approval of your application. This will be in order to understand and manage any issues which could impact your on-water safety and health.
I understand the above and agree to discuss any safety or health issues which may have to be managed

Club code of Conduct*
Please ensure you have read the club code of conduct.
Once you have fully read and understood this document and the obligations it describes, please acknowledge below. You will then be able to submit your application.

I have read and understood the Code of Conduct policy and agree to abide by it as a member of the Gold Coast Outrigger Canoe Club.
Consents and acknowledgements*
WARNING - PLEASE READ BEFORE ticking the consent box below.
I hereby acknowledge that I have read and consent to being bound by the AOCRA Indemnity Agreement and abide by the Rules, Directions and Constitution of AOCRA Inc and the club and to accept the terms, exclusions, conditions and limitations of OAMPS Injury and Legal Liability Insurance Contract.
I have read and understand the AOCRA Anti-Doping Policy as published at www.aocra.com.au.
I agree that all fees are non-refundable.
I agree that I will assist with the running of the club by volunteering at Gold Coast OCC-run regattas, helping with the loading, unloading and towing of the trailer, canoe rigging and de-rigging, washing of covers and general maintenance of the equipment and shed as required.
I accept that any personal belongings stored in the club shed or transported on club trailers (including OC1s and OC2s) are not covered by GCOCC insurance policies.
I accept the club's risk management assessment (including all attachments) and agree to abide by its policies. If I fail to abide by the policies therein, I indemnify Gold Coast Outrigger Canoe Club Inc and hold it harmless against any liability, damage, cost or expense arising out of or in connection with any failure on my part to adhere to the risk management assessment and its attachments. Copies can be obtained from the Secretary as required.
I agree that any comments I make on the club's social media channels will be honest, in good taste and respectful. Failure to comply with this clause may result in my club membership being revoked.
My consent below acknowledges that I AGREE UNCONDITIONALLY TO ACCEPT THE AFOREMENTIONED TERMS

I acknowledge and consent to the above terms
*
- I confirm am the parent/guardian of the applicant
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