Welcome

Come and Join Us

SIGN UP AS A PROSPECTIVE MEMBER

To be part of The Bush Club, sign up as a prospective member. Our leaders will keep an eye on you and help you select activities which will suit you and your fitness. After completing three membership qualifying walks, you can apply to be a full member. Otherwise, you can stay as a prospective member and continue to enjoy the care of our leaders. For the more strenuous activities, our leaders will discuss the activities with you to ensure that you can enjoy being part of the group.

Membership fees are:

  • $25 pa for a new prospective member
  • $25 pa for renewal of prospective member
  • $25 pa for renewal of full member

Join us and have fun, develop your fitness and make friends!

— Sign Up —

Note: If you are a lapsed Full Member, sign up as a Prospective Member but note in the “Comments” field that you were a Full Member. When your prior membership status is confirmed, the Committee will reinstate your status as a Full Member.

Member

Application for Prospective Membership
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Given Name
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    Strength: Very Weak
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    Gender
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    Home Address
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    Country
    Country/RegionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe
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    Home Phone
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    Emergency Contact Name
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    Emergency Contact Phone Number
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    Date of Birth (DD/MM/YYYY)
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    Declaration
    I am over 18 years of age.
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    Acknowledgement
    I have read the Risk Acknowledgement form and accept its conditions.
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    Email Subscription:
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    I agree to a "Email Subscription" through MailChimp so that I can receive updates from The Bush Club about its activities, meetings and any other Bush Club information. Note: The email subscription is strictly for receiving emails about The Bush Club and its activities. If you tick "No", you are responsible for checking the website regularly for the information.
    Bush Walking Clubs
    Yes, I am an active member of another bushwalking club?Yes, I have been a Prospective Member of The Bush Club previously?Yes, I have been a Full Member of the Bush Club previously?
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    How have you heard about us?
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    Other Sources
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    Comments
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    Maximum 1000 characters allowed.
    Select Your Payment Cycle
    Select Your Payment Gateway

    Please make your EFT before you fill in this form.


    In the description box on your bank submission form, type your FULL NAME which will identify you on our bank statement. This is important when bank account is in the name of someone else eg you partner.

    Our bank details for the transfer are:

    Westpac Bank
    BSB: 032087
    Account Number: 163369
    Account name: The Bush Club Inc.

    Please include the Date of Payment in the Additional Info/Note field.
    If you do not know the Transaction ID, enter "000". Note that it may take us longer to locate your payment if you do not provide us with the Transaction ID.
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