WESTERN GYMKHANA CLUB INC., MELBOURNE - MEMBERSHIP FORM 2019-20
Western Gymkhana Club Inc., Inc#A0057956S | Regd Head Office: 66 Juniper Avenue, Point Cook, VIC 3030
https://www.westerngymkhanaclub.com.au

This is the membership Form for Family Membership. Membership for 2019-20 is $350 (this includes regular monthly / fortnightly programs for all in your family. Programs generally in Point Cook).

OUR MEMBERSHIP ALLOWS YOU TO PARTICIPATE IN ANY WGC EVENT.

Membership in for 1 July - 30 June. Families joining during the year pay at pro-rata basis. Your visiting or staying parents are included in the membership fees.

Apart from these we also have 1-2 major members only annual events. These are offered to members at the subsidised cost basis.

Our Monthly and fortnightly events are:
1st Saturdays of each Month (Point Cook Community Centre) - 6.30PM - 9.30PM;

Each month - 2nd and 3rd Fridays Recreations (7.30 - 9.00PM Point Cook Community Centre)

Once your membership is accepted, we’ll send you our EFT details to deposit the annual membership fees.

Primary Member Name *
Your answer
Date of Birth *
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Occupation *
Your answer
Employer:
Your answer
Mailing Address -Street Name & Number *
Your answer
Suburb *
Your answer
Post Code *
Your answer
Phone Number *
Your answer
Email *
Your answer
Interest and/or Hobbies
Your answer
Secondary Member Name *
Your answer
Date of Birth *
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Occupation *
Your answer
Mailing Address - If Different
Your answer
Phone Number *
Your answer
Email *
Your answer
Interest and/or Hobbies *
Your answer
Child 1 - Name
Your answer
Date of Birth
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Child 2 - Name
Your answer
Date of Birth
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Child 3 - Name
Your answer
Date of Birth
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Child 4 - Name
Your answer
Date of Birth
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How did you first find out about Western Gymkhana Club: *
Does your family agree to do Volunteer service during club opens and other events as and when called upon by the club? *
Required
Can your contact details be shared with other club members in the club's contact directory *
Required
Is anyone in your family allergic to any food items or article: *
Required
Primary Member - Current Certifications - for volunteering at club *
Required
Secondary Member - Current Certifications - for volunteering at club: *
Required
Name of nearest contact in case of emergency *
Your answer
Phone number of nearest contact in case of emergency *
Your answer
Your Reference Contact - Name *
Your answer
Your Reference's Phone Number *
Your answer
Why do you want to join WGC (Pls answer in few words) *
Your answer
I have read the club's values and expected behaviour statements and will abide by those. I also agree to follow and abide the Model rules adopted by Western Gymkhana Club as per Associations Incorporation Reform Act 2012 *
Required
I agree for my family photos to at club’s events to be used in WGC’s website; Facebook page; marketing materials or media coverage *
Required
Date of Application *
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