 The Classic Motorcycle Club of Victoria Inc.
MEMBERSHIP RENEWAL APPLICATION
To the Membership Secretary,
Classic Motorcycle Club of Victoria Incorporated, PO Box 23, Brunswick West, VIC. 3055
I wish to continue membership of the Classic Motorcycle Club of Victoria Incorporated (the Club).
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| Address |
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State |
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Telephone No |
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| Email Address |
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| Mobile Contact No: |
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| Names of additional adult family members and family members under 18 years old (Note: These details only required if applying for family membership) |
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Motorcycles Year Make Model cc
| Red Plate Permit #1/Fulll Reg/No Reg |
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| Red Plate Permit #2/Full Reg/No Reg |
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| Red Plate Permit #3/Full Reg/No Reg |
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| Red Plate Permit #4/Full Reg/No Reg |
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| Red Plate Permit #5/Full Reg/No Reg |
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| Red Plate Permit #6/Full Reg/No Reg |
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In making this application, I acknowledge that:
‘Motorcycling’ is inherently dangerous and involves a significant risk of personal injury and damage to property however skilful and careful individual riders and passengers might be.
Membership of the Club is comprised of amateur motorcycling enthusiasts whose activities as members of the Club are organised by members as volunteers and that participation in activities of the Club is also voluntary.
Notwithstanding the efforts that might be made by the Club and its members to minimise the risk of injury to participants and others and damage to machinery, during events organised by the Club, responsibility to avoid such injury or damage rests with individual participants, and not with the Club or its members.
In these circumstances and in consideration of the acceptance of this application, I waive absolutely any right that I might now or in future have to make any claim for compensation or indemnity or contribution against the Club or any member arising from any activity organised by or on behalf of the Club whilst I am a member, and I undertake that I will not seek to pursue any such claim for compensation or indemnity or contribution against the Club or any member arising out of any injury or damage to property suffered by me or any third party in the course of any activity organised by or on behalf of the Club.
I understand that this document changes legal rights and responsibilities that I might otherwise have and I acknowledge that I have had the opportunity to obtain independent legal advice about the meaning and implications of the document before I sign it.
I enclose $___________ being payment of membership fee of SINGLE $45 or FAMILY $50.
Member (Print name)__________________________
Signature:_____________________________
Witness: (Print name) ________________________
Signature: _____________________________
Please Note: Applications that are not witnessed will not be accepted
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