Toggle navigation
Home
Get Involved
2024-2025 Strategic Framework
Media & Resources
Resources
FAQs
Media & Articles
Gallery
Our Team
Contact Us
We would love to hear from you
Membership Form
First Name
Last Name
Phone Number
Email
Date of Birth
Are you adding other persons for membership?
Yes
No
Applicant 2 Details
Applicant 2 First Name
Applicant 2 Last Name
Applicant 2 Email
Applicant 2 Date of Birth
Applicant 3 Details
Applicant 3 First Name
Applicant 3 Last Name
Applicant 3 Email
Applicant 3 Date of Birth
Applicant 4 Details
Applicant 4 First Name
Applicant 4 Last Name
hidden
I/we hereby apply for membership of Revive Lake Cathie Incorporated.
Applicant 4 Email
Applicant 4 Date of Birth
I/we hereby apply for membership of Revive Lake Cathie Incorporated.
Yes
I declare that I am eligible for membership under section 2 (1) of the constitution and am willing to be bound by the constitution and policies and procedures of the Association and the empowering legislation.
Yes
I agree that if my photo is taken it may be used by Revive Lake Cathie.
Yes
No
I agree that if my child’s photo is taken it may be used by Revive Lake Cathie
Yes
No
Do you identify as, Aboriginal or Torres Strait islander?
Yes
No
Do you identify as: Culturally and linguistically diverse?
Yes
No
I understand that the information collected will be collated for statistical purposes and used anonymously to support any funding applications as appropriate.
Sign below.
I understand that the information collected will be collated for statistical purposes and used anonymously to support any funding applications as appropriate.
Reset Signature
Eligibility: be over 18 years, youth 15-18 years (with a consent form signed by a guardian)
Members must pay membership fees each financial year.
Submit
×
Login
membership-form
