Membership Form by shuifanglj


									                                                                       Thundercat Racing Club Australia Incorporated
                                                                                                ABN: 12 124 450 973
                                                                                           Level 13, 99 YORK STREET
                                                                                                  SYDNEY NSW 2000

                                         MEMBERSHIP FORM
      Yearly membership to the Thundercat Racing Club Australia - January 1st to December 31st = $150.00

      Day Member to Full Member Upgrade = $110.00

      Day membership to Thundercat Racing Club Australia - EVENT DATE:                                       = $40.00

  I                                   the undersigned agree to be bound by the Thundercat Racing Rules and the Constitution
  adopted by the Thundercat Racing Club Australia (also known as and hereby referred to as the TRCA) and that we accept
  the risk and inherent dangers to ourselves from other competitors, their boats and equipment, any Thundercat Racing Club
  and Public Equipment and items. We acknowledge Sydney Thundercats & Gold Coast Thundercats are branches of the
  TRCA of which this membership extends. We advise that we are aware of the potential dangers to ourselves, other
  competitors and other users of the beach or event area and that we will maintain the highest vigilance possible to
  safeguard against any injury or damage to ourselves or to any other person as a result of our participation at any
  Thundercat event. That we specifically waiver all reasonable claims, actions, suits, proceedings, demands, costs and
  expenses (excluding any insurance policy cover for that particular Thundercat event) and agree to indemnify and hold
  harmless the TRCA, its officials and committee members, event promoters and any other person involved with the
  organisation & participation in Thundercat events; against all claims, loss and/or damage, from whatever cause arising from
  our participation or involvement with Thundercat Events.
              I hereby state that I have read and understood the RORTI rules of racing, prior to participating in a
                                                     Thundercat Racing Event.

 Name:                                                           Boat Licence Number:

 Email:                                                           Licence Expiry Date:

  Phone / Mobile:                                Address:

                                                 Suburb:                               State:             Postcode:

                                      NEXT OF KIN CONTACT IN CASE OF EMERGENCY

  Next of Kin:                                                               Next of Kin Phone:

      If a competitor is under the age of 18 he/she must obtain the assistance of their parents or guardians to ensure they
      understand the contents of the indemnity. The full name and the signature of the parent and guardian is required as
      well as the competitor.

  Parent / Guardian Name:                                               Parent / Guardian Phone:

  Please make payment by either Cash (to Club Secretary) or Direct Transfer of cleared funds to the following account:
  Account Name:    Thundercat Racing Club Australia - Sydney Branch
  Bank:            National Australia Bank Limited
  BSB:             082 212
  Account:         58 576 1402
  Please record your Direct Deposit Payment Reference here before submitting this form:

              PRINT FORM                            SUBMIT BY EMAIL                                 RESET FORM

                                                OFFICIAL USE ONLY BELOW

     Amount Paid:                 $                                        Receipt issued:                  YES / NO
    Payment/Form received by:                                           Membership Type:              YEARLY / DAY


To top