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TEMPORARY MEMBERSHIP Centenary Archers Club Inc.

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Academic year: 2024

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I wish to apply to apply for Temporary Membership to Archery Australia for the purpose of engaging in an Instruction Class or Archery related activity.

Temporary membership is provided for a maximum period of 12 weeks when undertaking instruction or for a maximum of 4 visits a year for visitors.

Instruction must be carried out by an accredited Archery Australia Inc Archery Coach or appointed club official.

Temporary membership provides coverage by the Archery Australia Public Liability Insurance policy and offers no other rights or privileges within Archery Australia Inc.

Bring completed form to the Club on the day of your Archery Class.

TEMPORARY MEMBERSHIP

Centenary Archers Club Inc. Date:__________________

Name Address

Postcode Contact Number

The person named above is: Under Instruction X Club Visitor

PLEASE READ THE FOLLOWING CAREFULLY

1. I agree that as a Temporary Member of Archery Australia I will comply with the Rules and Policies of Archery Australia & Centenary Archers Club, the conditions laid out on this form, and understand that my Temporary Membership may be cancelled at any time.

2. I am not aware of any medical or other condition that I or the person named above has that would cause a dangerous situation or safety issue to members of Centenary Archers Club or to other persons attending the Club.

3. Centenary Archers Club should be aware that I or the person named above have the following allergies:

Allergy and Treatment

Applicant’s Signature Signature of Parent/Guardian

(if under 18 years of age)

Name & Signature of Club

Official Supervising Activity Date of Activity

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