Membership Form

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The RANCH Wagga

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Donate

$10 per family, per year - 1 Calendar year from date paid

Member 1 First Name

Phone Number

Member 1 Last Name

Address

Member 2 First Name

Phone Number

Member 2 Last Name

Address (if different)

Is this a.., *

New membership

Membership renewal

Please list any dependent children's names here.

Please indicate age ranges of any dependent children.

<2 years

2-5 years

5-12 years

>12 years

Please select the option that best decibes your household. *

Contains one or more current serving members of the ADF

Contains one or more former serving members of the ADF

None of the above

Alternative Emergency Contact if not already listed (optional)

For future planning of events can you please indicate what you would attend at The RANCH

Morning Tea

Play Time

Walking group

Book Club

First Aid/RSA/Other Courses

Adults only dinners and events

School holiday events

Family dinners

Fitness classes

Other suggestions

How did you hear about us?

Facebook

Other Community Support Groups

Word of mouth

Base Induction

Google

Other

I acknowledge that my and/or my dependents’ image (photograph, video or sound) may be recorded by The RANCH at RANCH related activities for promotional purposes, and may be used in various print and electronic media. If I do not wish my and/or my dependents’ image or sound to be used for promotional purposes, I understand it is my responsibility at the time of the event to inform a Committee member or member of staff that I wish to be excluded. I understand that such a request may be made at a later date in writing to The RANCH Committee.

I have read and agree to follow The RANCH’s Code of Conduct(View Code of Conduct)

Would you be interested in joining our committee?

Please indicate if you do NOT wish to receive any updates via email

I accept terms & conditions

Thanks for submitting!