Narungga Youth Application

Narungga Youth Application

For Associate Membership
This form is for young Narungga people aged 15 to 18 who want to stay connected and involved with their community. Becoming an associate member of NNAC is a way to learn more about our culture and take part in community events.

Once you turn 18, you will automatically become a full member with voting rights and the ability to participate in the formal decision-making of the Corporation.
Privacy Statement

We collect your personal information to manage your membership, keep you informed, and provide relevant services and updates. Your information is stored securely and will only be accessed by authorised staff. We will never share your details with third parties without your consent, unless required by law.

By submitting this form, you agree to the collection and use of your personal information in accordance with this privacy statement.
First Name:
Surname:
Date of Birth:

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Place of Birth:
Phone Number:
Email:
Address:

Street Address

Street Address Line 2

SuburbState

Postcode
Name of Parents/Carers:
Parent/Carer Signature:
Declaration:
Please refer to the following Narungga Nation Aboriginal Corporation (NNAC) documents relating the the declaration below:
- Code of Conduct
Youth Member Signature:
Date of Application:

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Should be Empty: