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Membership Form
Nov 10, 2023
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Step
1
of 4
Applicant Information
This information is required in order for your application is considered.
Name
*
First
Last
Date of Birth (mm/dd/yyyy)
*
Email
*
Mobile Phone
*
Emergency Contact Phone
How do you prefer to be contacted? (Select all that apply)
*
Email
Phone
Text message
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
— Select country —
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
What Police, Emergency Service or Maritime related organisation to you belong to?
What is your role there?
If you do not work or volunteer there, how are you connected?
ie: Family member or close friend
Next
A little more information
This section will help us learn a bit more about your interest in the Salty Motor Crew.
How did you hear about us? (Select all that apply)
*
From a current or past member
Attended a charity event in the community
From a friend or colleague
Search engine results while researching volunteer/community organizations
Website
Social Media
Marine Rescue NSW
Other
Other (please specify):
Tell us more about the bike(s) you currently own
*
Next
Preferences
Please share your Salty Motor Crew preferences to help us ensure the best fit.
Why are you interested in joining the Salty Motor Crew? (Select all that apply)
To participate in organised rides
Community service opportunities
Historic vehicle registration scheme
To network with others
To make new friends
Be involved in charitable events
Travel opportunities
Other
Other (please specify):
Salty Motor Crew operates through members volunteering their skills. How are you able to help?
Social media
PR and public image
Planning rides and events
Managing budgets and funds
Scrutinising historic vehicles
Become a committee member
Supporting others
Other
Other (please specify):
Agreement
*
I agree to the terms and conditions of being part of the Salty Motor Crew.
I understand that if my application is accepted, I will be expected to participate regularly and pay annual $30 membership fee.
Next
Photography Consent:
*
Agree
Disagree
Photographs may be taken of me at Salty Motor Crew events for promotional purposes of the club.
Hazards:
*
Agree
I understand that participating in Salty Motor Crew rides involves hazards. The hazards include, but are not limited to; condition of participant’s bike, road users, road surfaces, other motorists, pedestrians, carparks, actions of participants, spectators, and weather conditions. In my judgement I have sufficient competence and experience to participate safely.
Waiver:
*
Agree
WAIVER, RELEASE, AND DISCHARGE I hereby take action for myself, my executors, administrators, next of kin and assign as follows: From any and all liability for death, disability, personal injury, property damage, property theft, and all other foreseeable risks or claims or actions of any kind, whatever and however occurring, which I at any time had or have as a result of or in connection with, directly or directly, my participation in and travelling to and from the events, the following persons or entities: Event organisers; Event Sponsors; volunteers; community organisations; and all State, Federal and Local Government authorities in which the events may be staged and their (its) respective officers, directors, employees, independent contractors, representatives, agents and volunteers.
Indemnify:
*
Agree
INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in the point above from any and all liabilities, claims or actions whatever or however caused, arising as a result of or in connection with, directly or indirectly, my participation in and travelling to or from events and activities run by the Salty Motor Crew Incorporarted.
Responsibility:
*
Agree
I agree that I enter events and activities voluntarily, and that I am responsible for the control, safety and insurance of my bike/vehicle and also for the safety of any persons riding/travelling on my bike/vehicle duration of the events/activities of the Salty Motor Crew.
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