Auckland University Rock and Alpine Club (AURAC) 2020 Sign-Up
2020 Membership Sign-Up Form (March 2020 - March 2021)

Please enter your details below and submit to be added to the AURAC 2020 email list. You should receive a confirmation email within 5 days after payment being received, processed and confirmed. You will then receive all our emails containing information on upcoming trips, trip sign ups, and social events.

If you are not receiving any emails from AURAC, please contact the membership officer (Juliet Nelson) at
First Name *
Your answer
Last Name *
Your answer
Contact Number *
Your answer
E-mail Address *
Your answer
Date of Birth *
University of Auckland Student ID Number *
This should be a 9 digit number, written on your student ID. This is NOT your UPI (what your uni email starts with). If you aren't a UoA student, put N/A.
Your answer
Emergency Contact Full Name *
Your answer
Emergency Contact Number *
Please include area code and/or country code if necessary.
Your answer
Relationship to Emergency Contact *
Do you have any medical condition(s) that may impair your ability to participate in any club events, trips etc.? *
If yes, please specify the medical condition(s):
Your answer
Membership Type *
Please answer this question honestly, it does affect the club and can make us ineligible for grants. Your enrolment status will be checked through UoA.
Method of Payment *
If paying by bank transfer please pay to 38-9014-0605781-02 with your 'First and Last Name' and 'MEMBERSHIPS'. If you are paying by cash please email to organise a time and place.
By registering with Auckland University Rock and Alpine Club (AURAC), I acknowledge that climbing is potentially dangerous which could lead to injury or death. I agree to become familiar with the risks and take responsibility for my own safety and that of others climbing with me. I shall adhere and follow all club safety protocol. I understand that AURAC will not be liable for any injury or death while participating in any club activities. If I hire club gear I agree to return the gear on time, to use it carefully and not to lend it on to anyone else without permission of the Gear Officer. Otherwise I agree to be liable for the replacement cost of the gear. If this agreement is broken, the University administration may be notified. AURAC reserves the right to terminate the membership of any club members whose behaviour is deemed inappropriate. I understand that the information in this form may be anonymously collected for University of Auckland statistical purposes. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy