• Panamuna OCC Membership Form

    Club Address: PO Box 925 Mooloolaba QLD 4557.
  • Gender*
  • Format: (0000) 000-000.
  • Format: (0000) 000-000.
  • Are you a Competent Swimmer? (Note: You able to swim 400m under assisted)*
  • Do you suffer any Medical Conditions?*
  • Are you Transferring from another Club?*
  • Do you currently have a Single Craft stowage at the club?*
  • Do you need stowage for the next season?*
  • Are you a current/qualified coach?*
  • Coaching expiry date:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Do you have a current qualification in First Aid?*
  • First Aid expiry date:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Do you agree for your image to be used in social media?*
  • Where did you hear about us?*

  • Membership Rules

  • 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 Panamuna Outrigging Canoe Club and to accept the terms, exclusions, conditions and limitations of I.E.A. Sports Injury and Legal Liability Insurance Contract.

    I have read and understand the AOCRA Anti-Doping Policy as published at www.aocra.com.au

    I have read and understand the Panamuna Welcome to our Sport document on the panamuna.com website.

    I have read and understand the Code of Behaviour document on the panamuna.com website.

    I have filled in a Medical Declaration form, if required on the panamuna.com website.

    I have filled in a Junior Parental Permission form, if required on the panamuna.com website.

    My signature below acknowledges that I AGREE UNCONDITIONALLY TO ACCEPT THE TERMS OF THE ABOVE MENTIONED DOCUMENTS

  • Once you submit this Membership form, your application will be reviewed by the Committee, and when approved, you will then be issued an invoice for membership fees. 

    Thank you!

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