AOCRA | Member Registration

Volunteer Members are not allowed to paddle, or have any voting rights within a club. They are covered under AOCRA's insurance policy for Volunteer Duties Only.
Please select PADDLING MEMBER if you wish to join as a new paddler.

Zone:

Club:

Surname:

Given name:

Password:

Date of birth

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Gender

Male

Female

Address:

Town

State:

Post Code:

Tele Home:

Tele Work:

e-Mail:

Mobile:

Next of Kin Name:

Relationship:

Address:

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Additional data, important to your membership

Are you a Competent Swimmer ?

(NOTE: TO MEET AOCRA SAFETY REQUIREMENTS, EACH CLUB WILL ENSURE
YOU MEET MEMBER SWIMMING COMPETENCY, THROUGH CERTIFICATION OR TESTING)

Do you have a medical condition that could impact your safety or the safety of others when training or racing Outrigger Canoes?

Do you subscribe to State/Territory Ambulance Service?

If Yes, Please identify which State?

Are you a Member of a private health care fund?

Do you agree for your details to be used for publication?

Are you an Outrigger Level 1 Specific Coach

INDEMNITY & RELEASE

I understand that participating in the activities of my Club (as selected above) (hereinafter known as “the Club”) will be on water and therefore I am required to be a competent swimmer and I also understand that outrigger activity carries with it the inherent risk of physical injury, including serious injury such as permanent disability, paralysis and even death and in undertaking such activities I do so at my own risk. 

I am also aware that it is a condition to my participation in any official or approved outrigger event that AOCRA, its officers, employees, representatives, agents, volunteers, instructors, members, or servants are absolved from all liability howsoever arising from injury or damage howsoever caused (whether fatal or otherwise) arising out of my participation in an event or in training, instruction or carriage in any vessel being used for or in connection with outrigger canoe racing or in any way whatsoever due to any negligent act, breach of duty, default and/or omission on the part of AOCRA, its respective officers, employees, representatives, agents, volunteers, instructors, members, or servants.  

I am also aware that any person participating in outrigger canoe racing, learning to outrigger, training or being involved with any vessel being used for or in connection with outrigger canoe racing or participating in any activity carried out by AOCRA and the Club, are only allowed to do so on the distinct understanding that they do so at their own risk.

This agreement shall be binding upon and inure to the benefit of the parties, their successors, administrators, assigns and personal representatives.

In consideration of being allowed to participate in the activities of the Club, which includes training for and participating in regattas, I do HEREBY ACKNOWLEDGE that I have read and understood the warning and indemnity above and agree to release and forever hold harmless from any liability, suit or action howsoever arising AUSTRALIAN OUTRIGGER CANOE RACING ASSOCIATION INC and the Club, and their respective officers, employees, representatives, agents, volunteers, instructors, members, or servants in the event of my injury and/or death.

Declaration on behalf of a junior person- under 18

I consent to the person who’s membership application this refers to, to take part in activities with the Club and acknowledge that I have read and understand this waiver and agree to release AOCRA and the Club and their respective officers, employees, representatives, agents, volunteers, instructors, members, or servants from any liability including the Club’s acts of negligence to the fullest extent permitted by the law.

I hereby acknowledge that I have read and consent to being bound by the AOCRA Indemnity Agreement and abide by the Rules, Directions and Constitution of AOCRA INC and the club and to accept the terms, exclusions, conditions and limitations of Arthur J. Gallagher Injury and Legal Liability Insurance Contract. I have read and understand the AOCRA Anti-Doping Policy as published at www.aocra.com.au

By accepting the terms and conditions set out herein you further authorise Arthur J. Gallagher Insurance Brokers Ltd to on forward information relating to any incident and/or claim to AOCRA

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