BECOME A MEMBER OR RENEW YOUR MEMBERSHIP
Download the membership form (also available at the end of this page).
Return to Judy Matten with payment.
=> DOWNLOAD THE MEMBERSHIP FORM
Download the membership form (also available at the end of this page).
Return to Judy Matten with payment.
=> DOWNLOAD THE MEMBERSHIP FORM
EMERGENCY CONTACTS AND MEDICAL DETAILS
It is essential this form be filled out and carried in your pack at all times in a sealed waterproof container.
This form is available to download or can be seen at the end of this page
=> DOWNLOAD THE EMERGENCY DETAILS FORM
It is essential this form be filled out and carried in your pack at all times in a sealed waterproof container.
This form is available to download or can be seen at the end of this page
=> DOWNLOAD THE EMERGENCY DETAILS FORM
PARK FEES
A number of the national parks we visit charge a vehicle day pass fee which can add up considerably for a camp over several days. The fee does not cover camping fees. It may be worthwhile to purchase an annual park’s pass and there are several types and durations available to choose from. Senior Card holders receive a discount and pensioners can apply for a free pass.
Vehicle passes can be purchased from;
When you renew a NSW vehicle registration online through Service NSW, you can get a $15 discount on All Parks and Multi-Park annual passes. Look out for the link on the Service NSW website when you reach the Finish page, after re-registering your vehicle online.
The discount only applies to 1-year All Park and Multi-Park Passes, and can't be used in conjunction with any other discounts. Normal annual pass conditions apply.
This discount is only available when a NSW vehicle registration is renewed online through the Service NSW registration renewal page
A number of the national parks we visit charge a vehicle day pass fee which can add up considerably for a camp over several days. The fee does not cover camping fees. It may be worthwhile to purchase an annual park’s pass and there are several types and durations available to choose from. Senior Card holders receive a discount and pensioners can apply for a free pass.
Vehicle passes can be purchased from;
- National Parks Contact Centre over the phone on 1300 072 757
- Online – select the pass best suits your needs and buy online
- Email, fax or post: Download the Annual Pass Application Form and complete
- In person – NP office in the Jetty precinct or a NSW National Parks Visitor Centre
When you renew a NSW vehicle registration online through Service NSW, you can get a $15 discount on All Parks and Multi-Park annual passes. Look out for the link on the Service NSW website when you reach the Finish page, after re-registering your vehicle online.
The discount only applies to 1-year All Park and Multi-Park Passes, and can't be used in conjunction with any other discounts. Normal annual pass conditions apply.
This discount is only available when a NSW vehicle registration is renewed online through the Service NSW registration renewal page
ULITARRA CONSERVATION SOCIETY INC (Coffs Coast Bushwalkers)
APPLICATION FOR MEMBERSHIP/RENEWAL OF MEMBERSHIP
LAST NAME _______________________________________ TITLE ________
GIVEN NAMES ____________________________ DOB (optional dd/mm) _____
ADDRESS _______________________________________________________
TOWN ______________________________STATE_______ PCODE__________
TELEPHONE H: _______________ W: _______________ M: ______________
EMAIL: ___________________________________________________________]
LIABILITY WAIVER DECLARATION
In voluntarily participating in any activity of The Ulitarra Conservation Society Inc. I am aware that this may expose me to risk that could lead to injury, illness, death and loss of or damage to my property. Those risks may include but are not limited to slippery and/or uneven surfaces, rocks being dislodged, falling at edges of cliffs or drops or elsewhere and risks associated with crossing creeks. I also acknowledge that I may encounter weather conditions that could lead to hypothermia, heat exhaustion and being in locations where evacuation for medical treatment may take some considerable time. To minimise these risks I will endeavour to ensure:
I have read and understand these requirements. I have considered the risks before choosing to sign this acknowledgement and I still wish to participate in the activities of The Ulitarra Conservation Society Incorporated. I accept that any contract arising from my participation will exclude any liability arising from the supply of goods and services by the club leaders. I will take responsibility for my own actions and acknowledge by signing this form and the payment of my subscription will be deemed full acceptance of the above.
ANNUAL MEMBERSHIP DUE 1 JANUARY ANNUALLY
Single $5.00 Couple or Family $5.00
Temporary members (day visitor – must sign acknowledgement of risk form) $5.00
Payment options – Cash or Cheque (payable to Ulitarra Conservation Society Inc.)
Deposit – BCU; BSB 533-000 Member No. 42811 (Reference - initials and surname)
Signature ________________________________________
Date___________________
APPLICATION FOR MEMBERSHIP/RENEWAL OF MEMBERSHIP
LAST NAME _______________________________________ TITLE ________
GIVEN NAMES ____________________________ DOB (optional dd/mm) _____
ADDRESS _______________________________________________________
TOWN ______________________________STATE_______ PCODE__________
TELEPHONE H: _______________ W: _______________ M: ______________
EMAIL: ___________________________________________________________]
LIABILITY WAIVER DECLARATION
In voluntarily participating in any activity of The Ulitarra Conservation Society Inc. I am aware that this may expose me to risk that could lead to injury, illness, death and loss of or damage to my property. Those risks may include but are not limited to slippery and/or uneven surfaces, rocks being dislodged, falling at edges of cliffs or drops or elsewhere and risks associated with crossing creeks. I also acknowledge that I may encounter weather conditions that could lead to hypothermia, heat exhaustion and being in locations where evacuation for medical treatment may take some considerable time. To minimise these risks I will endeavour to ensure:
- Any activity in which I participate is within my capabilities
- I am carrying food, water and appropriate equipment for the activity
- I will advise the activity leader if I am taking any medication or have any physical or other limitations that might affect my participation in the activity
- I will make every effort to remain with the rest of the group during the activity and notify the leader if I need to leave the party for any reason
- I will advise the leader of any concerns I am having
- I will comply with all reasonable instructions of club officers and activity leader(s)
I have read and understand these requirements. I have considered the risks before choosing to sign this acknowledgement and I still wish to participate in the activities of The Ulitarra Conservation Society Incorporated. I accept that any contract arising from my participation will exclude any liability arising from the supply of goods and services by the club leaders. I will take responsibility for my own actions and acknowledge by signing this form and the payment of my subscription will be deemed full acceptance of the above.
ANNUAL MEMBERSHIP DUE 1 JANUARY ANNUALLY
Single $5.00 Couple or Family $5.00
Temporary members (day visitor – must sign acknowledgement of risk form) $5.00
Payment options – Cash or Cheque (payable to Ulitarra Conservation Society Inc.)
Deposit – BCU; BSB 533-000 Member No. 42811 (Reference - initials and surname)
Signature ________________________________________
Date___________________
ULITARRA CONSERVATION SOCIETY INC. (Coffs Coast Bushwalkers)
MEMBER EMERGENCY CONTACT & MEDICAL INFORMATION
It is recommended this form be carried in your pack at all times in a sealed waterproof container.
NAME: __________________________________________________________
HOME ADDRESS: __________________________________________________________
TELEPHONE: Home : ___________________ Mobile: ____________________________
EMERGENCY CONTACTS
NAME: ____________________________________ Relationship: _________________
HOME ADDRESS: _________________________________________________________
TELEPHONE: Home _______________ Mobile: _____________________________
NAME: _____________________________________Relationship: __________________
HOME ADDRESS: _________________________________________________________
TELEPHONE: Home ___________________________ Mobile: ___________________
MEDICAL INFORMATION
Medical Condition: _________________________________________________________
Current Medications: _________________________________________
(Please carry daily medications with you. It is a good idea to take additional doses as a precaution in case the return journey is delayed).
Allergies: ______________________________________________ (in need please carry your epi pen and ensure the leader of the group knows you have one and how to use it)
Do you have current immunisation against Tetanus: Y / N Blood type: ____________
Medicare Number: __________________Exp date _______Ambulance cover current: Y / N
Private Health Insurance Fund Details: __________________________________________
Privacy Statement:
The information contained in this form is for emergency use only and will be used if you are ill or injured whilst participating in a Ulitarra Conservation Society Inc. activity. The information will only be accessed by the walk leader or their delegate and given to the relevant medical and/or emergency services personnel.
I give/don’t give permission for Ulitarra Conservation Society Inc to give first aid to me should the need arise.
Signature ____________________________________________ Date___________
MEMBER EMERGENCY CONTACT & MEDICAL INFORMATION
It is recommended this form be carried in your pack at all times in a sealed waterproof container.
NAME: __________________________________________________________
HOME ADDRESS: __________________________________________________________
TELEPHONE: Home : ___________________ Mobile: ____________________________
EMERGENCY CONTACTS
NAME: ____________________________________ Relationship: _________________
HOME ADDRESS: _________________________________________________________
TELEPHONE: Home _______________ Mobile: _____________________________
NAME: _____________________________________Relationship: __________________
HOME ADDRESS: _________________________________________________________
TELEPHONE: Home ___________________________ Mobile: ___________________
MEDICAL INFORMATION
Medical Condition: _________________________________________________________
Current Medications: _________________________________________
(Please carry daily medications with you. It is a good idea to take additional doses as a precaution in case the return journey is delayed).
Allergies: ______________________________________________ (in need please carry your epi pen and ensure the leader of the group knows you have one and how to use it)
Do you have current immunisation against Tetanus: Y / N Blood type: ____________
Medicare Number: __________________Exp date _______Ambulance cover current: Y / N
Private Health Insurance Fund Details: __________________________________________
Privacy Statement:
The information contained in this form is for emergency use only and will be used if you are ill or injured whilst participating in a Ulitarra Conservation Society Inc. activity. The information will only be accessed by the walk leader or their delegate and given to the relevant medical and/or emergency services personnel.
I give/don’t give permission for Ulitarra Conservation Society Inc to give first aid to me should the need arise.
Signature ____________________________________________ Date___________
