OZFIN TREASURER Kathy Jones 5 Heathcombe
Crescent Sandy Bay
Tasmania 7005

Send this form to:
MEMBERSHIP FORM OZFIN/AUF MEMBERSHIP
Name
Club
.
Mailing Address:
..
State:
..Post code:
Date of
Birth / /
Phone: (
)
. Home (
)
..Work
.(Mob)
Fax: (
)
Email:
Occupation:
Australian
Citizen? Y / N
Nationality if not Australian
.
.. Gender M / F
(NOTE: members must
be an Australian citizen to claim records or gain selection on an Australian
team)
SCUBA
QUALIFICATIONS:
CERTIFICATE NO
..
CURRENT SPORTING
QUALIFICATIONS: (e.g. Official, Coach, Pool Lifeguard, First Aid, other)
.
..
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CONDITIONS OF MEMBERSHIP AND WAIVER
I
.
acknowledge that Fin Swimming can
be a dangerous sport and agree to participate at my own risk. I also acknowledge that I am responsible for
my own health and safety and hereby absolve the OZFIN executive, and executive
members of affiliated clubs from any financial responsibility or compensation
that may arise from my participation. I further
agree to inform coaches and club officials of any illness that may prevent me
participating in training or competition and absolve them from all
responsibility. I agree to abide by the
rules and regulations of OZFIN.
OZFIN
MEMBERSHIP:
Competitor $ 50 (includes AUF fee)
or Non-Competitor $ 40
State/Club Levy $ (as
set by individual clubs and states)
TOTAL
Please find
enclosed cheque/money order to the value of $
Signature
.
Date
./
../
.
(this signature
designates agreement for the above conditions of membership, memberships is not
valid with signature).
Club Received / /
OZFIN Received / /
AUF Received / / Membership number