Membership Form

KAGR Membership Application

Membership is free
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Post Code
Contact Number
E-mail
example@example.com
Are you able to assist with stalls at public events?

YesNo
Are you able to assist with tree planting projects?

YesNo
Do you hold a current blue card?

YesNo
Do you hold a current First Aid Certificate?

YesNo
Do you have other skills/interests which could benefit Koala Action Gympie Region Inc?
Please give details
Membership is free. By becoming a member of KAGR Inc, you will receive the Minutes of each meeting and meeting notifications. You will help our membership to grow and contribute to raising awareness of koalas within our community.

I wish to apply for membership of Koala Action Group Gympie Region Inc.
Signature

Clear
Date
Any questions please contact us via phone or email.

Phone: 0428 865 172

Email: president@kagr.org.au

Facebook: @koalagympie
As required by the Associations Incorporation Act 1981, Koala Action Gympie Region Inc is insured through QWaLC for $30,000,000 Primary Liability insurance for any public events in which members are involved.

Containers For Change Number for KAGR

Our scheme ID is C10420253
Should be Empty:

KAGR Membership Application