Membership Registration Name* First Last Email* Website Username*Please give yourself a username for accessing the members content of our website. Primary Phone*A mobile number is preferredAlternative PhoneOptional but may be tried in an emergencyHome Address* Street Address City State / Province / Region ZIP / Postal Code Year of Birth* Gender* Male Female Emergency Contact 1*Name, mobile, other phone H/W - please provide two phone numbers separated by a commaEmergency Contact 2 (needed if Contact 1 not available)* name, mobile phone, other phone H/W - please provide 2 phone numbers separated by a commaMembers Directory*Do you want to include your suburb (not address) and primary phone number In a directory available offline to all members Include details No Email notificationI want to receive program, newsletter and activity news by email. Yes Use Residential Address as Postal Address* Yes No Postal Address Street Address City State / Province / Region ZIP / Postal Code Do you have a current first aid certificate or have you been to a first aid course in the last 12 months.*YesNoHave you completed a Ramblers activity?Give details including date of at least one activity already undertaken with the Ramblers Name of MemberGive name of a Ramblers Club member who knows you and can provide a recommendation in support of your application. I have read 'Bushwalking with the Ramblers'*Click here to download Bushwalking with the Ramblers. Prospective members are asked to read the Club's manual 'Bushwalking with the Ramblers' before they join the Club. Yes Bushwalking ExperiencePlease indicate your experiencenonelimitedmoderateextensiveI have read, understood and agree to the risk waiver.*Click here to open the risk waiver. Yes How did you find out about the Ramblerscamping/adventure storewebsitefriendotherPayment Method*Membership Fee is $35.00 Online via PayPal Offline via EFT or arrangement Membership Fee Price: Total $ 0.00 Δ Member Registration admin December 15, 2013