Kneeboarders Inc Membership Renewal Form

Kneeboarders Inc

Membership Renewal Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
D.O.B*

DayMonthYear
Date
Surfing Australia Member No (if applicable)
Membership Payment Options:

$25 Standard Membership
ALL MEMBERS ARE ENCOURAGED TO HELP OUT AT COMPETITION ROUNDS – AND SOCIAL EVENTS. YOUR HELP IS APPRECIATED

• DUE TO INSURANCE – ALL SURFERS MUST BE FINANCIAL BEFORE COMPETING – (THIS IS A CONDITION OF SURFING QLD)

DECLARATION:

• I HAVE READ & UNDERSTAND THE RULES & AGREE TO FOLLOW THEM, & ABIDE BY THE CLUB OFFICIALS DIRECTIONS

• CLUB ORGANISERS, OFFICIALS, SURFING QLD, SURFING AUSTRALIA, AND KNEEBOARDERS INC SPONSORS WILL NOT BE RESPONSIBLE FOR INJURY, LOSS OR DAMAGE TO PROPERTY OR PERSONS WHILE PARTICIPATING IN OR TRAVELLING TO OR FROM KNEEBOARDERS INC EVENTS

• I AGREE TO ABIDE BY THE SURFING AUSTRALIA CODE OF CONDUCT (CAN BE ACCESSED ON SURFING AUSTRALIA) AND UNDERSTAND THAT BREACHES MAY INCUR SANCTIONS AS DEEMED APPROPRIATE BY THE COMMITTEE

• I AGREE THAT MY MEMBERSHIP DOES NOT INCLUDE SURFING QLD MEMBERSHIP • KNEEBOARDERS INC ENCOURAGES ALL CLUB MEMBERS TO JOIN SURFING QUEENSLAND IN ORDER TO OBTAIN PERSONAL ACCIDENT INSURANCE COVER. surfingqueensland.com.au
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