ALL MEMBERSHIPS INCLUDE PERSONAL ACCIDENT INSURANCE

SOUTHERN CAMPDRAFTING ASSOCIATION

Membership Application

To contact us:

Phone: 02 63866204

Fax: As above.

E-mail: mazza@dragnet.com.au

Please return completed application to the.

Secretary/Treasurer.                                                                   

Tony & Marilyn Bowden

P.O. Box 266,

Cootamundra NSW 2590.

PH/FAX (02) 63866204.

       SOUTHERN CAMPDRAFTING ASSOCIATION LIMITED

 

   APPLICATION FOR  NEW  MEMBERSHIP

 

 Name…………………………………………………………………………………

 

Address………………………………………………………………………Post Code……..………

 

 Date of Birth (If under 21 years)……………………………………………………

 

 Telephone Number………………………………………………………………….

 

 Fax Number…………………………………………………………………………

 

 Proposed by……………………………..Seconded by…………………………

 

 Signature…………………………………Signature…………………………….

 

 Please ensure this Application is completed in full. Proposer and Seconder must be financial members

 of the Southern Campdraft Association. (Junior members not eligible to propose).

 *MEMBERSHIP FEES DUE 1^ST JULY TO 30^TH JUNE EACH YEAR.

                                                                                                                 (Please tick below)

 Adult………..$96.00 - (17yrs & over)                                                             ADULT

 Junior………$21.00 – (8yrs & under 13yrs)                                                   JNR   

 Juvenile……$26.00 – (13yrs & under 17yrs)                                                 JUV

 Associate….$30.00. (Non-riding, S.C.A. Newsletter)                                     ASS

 Weekend Membership….$40.00 (duration of (1) School or (1) Campdraft.  WM

 

RELEASE AND WAIVER OF LIABILITY

THE SOUTHERN CAMPDRAFTING ASSOCIATION LIMITED

  I acknowledge that the recreational activity of Camp Drafting is a dangerous recreational activity and

  involves a significant risk of physical harm.  I acknowledge that I have been warned that if I participate in this

  activity that I may suffer injury, loss, damage or even death.  I acknowledge that Southern Campdrafting Association

  Limited (SCA) has warned me that if I participate that I may suffer injury, loss, damage or death. 

  In consideration of Southern Campdrafting Association Limited permitting me to use their facilities and

  activities and allowing me to participate, I hereby release Southern Campdrafting Association Limited from any

  claims that I may otherwise have against Southern Campdrafting Association Limited in respect of any damage,

   injury or loss that may be occasioned by virtue of my participation in that dangerous activity and I agree to release

  from all liability and not to sue Southern Campdrafting Association Limited for any such injury, death, loss or

  any other damage sustained by me as a result of my participation in any of the activities provided by Southern

  Campdrafting Association Limited.

  I acknowledge that: my signature to this document constitutes a complete and unconditional release of all

  liability of the SCA (and any Campdraft Committees affiliated with the SCA) to the extent permitted by law

  in the event of me and/or the children under my care suffering injury, death or permanent disability.

 

  Applicants Signature                                                                      this                 day of                                .                      

  Parent or Guardian must sign for Person under 18 yrs of age.

  If you require further information before lodging your Application Please contact us.

  N.B: Must be accompanied by Horse Registration Forms.