Apply for Prospective Membership

  * – mandatory fields
 
Membership Fee: $55.00 per annum, Total: $55.00
 
Membership Type*

Your Detail

Title:
Gender
First Name*
Last Name*
Date of Birth*
Work Phone
Home Phone
Mobile Phone
Email*
Please enter your long-term, stable, private email address as it will be used as your login, so it is desirable to have one that won't change, ie not a work email.  
Occupation *

Fitness Questions

Bushwalking is a strenuous physical activity. To give us an indication of your current fitness and your bushwalking experience, please answer the following questions as accurately as you can. If we have any concerns about your application for membership, we will contact you directly.

1. Do you undertake any endurance exercise (20mins+) on a regular basis?  
2. What type of endurance exercise do you engage in?  
3. Have you ever done any bushwalking in the last 6 months?  
4. Have you done any overnight bushwalking carrying a backpack (around 12 kg)?  
5. How do you rate your walking fitness?  

Payment Detail

Paid Amount*
Payable Bank*
Paid Date*
Pay Mode*
Transaction ID *

Set your password

User Password*
Confirm User Password*

Residential Address

Address Line 1 *
Address Line 2
Post Code *
Suburb *
State *
Country *

Postal Address

Address Line 1
Address Line 2
Post Code
Suburb
State
Country

Emergency Contact Detail

Emergency First Name*
Emergency Last Name*
Emergency Contact Phone*
Emergency Contact Email
Emergency Contact Relationship*

Vehicle Detail

Vehicle Registration
Vehicle Type And Color
Carrying Capacity
(Driver plus 1, 2 or 3 passengers with bushwalking gear)

First Aid Questions

Qualification
Level
Valid Till Date

In order to facilitate communication amongst members, when organizing attendance at SBW activities, we publish a Membership List (including name, suburb and phone numbers). This information is updated each year, and sent to all the Members, on the basis that details are not promulgated beyond the club. Our Members are very respectful of this. We have therefore made the "default" in the Database that Members are listed in the Membership List.
If you do not want this to occur please check the box:

Please complete our anti-spam security sum:

By submitting this form, you acknowledge the following. All participants, including visitors, are reminded that they join in activities as volunteers. Your fitness is your responsibility. Bushwalking and other activities on our program have associated risks including but not limited to the risk of accidental injury.

All persons joining in any activities of the Sydney Bush Walkers Inc. do so as volunteers in all respects and as such accept sole responsibility for any injury howsoever incurred and the Sydney Bush Walkers Inc, its office bearers and appointed leaders are absolved from any liability in respect of any injury or damage suffered whilst engaging in any such activity