Membership Form

NOWRA MOTOPLEX MEMBERSHIP APPLICATION

Complete this form to become a member online instantly.
I wish to apply for*
- Senior Membership
- Junior Membership
- Family Membership
Seniors must be 16 years and over.
Under 18's must be approved by a parent/ guardian.
Must have atleast one family member over 18 years of age for family membership.
Family Membership Price
Price: $ 70.00
For more information regarding our price list, please refer to our prices page.
Family membership may only be applied for at the Motoplex facility. Please close this registration page / window and contact us to arrange registration on your next visit.

Family membership constitutes two parents and their combined children who are under the age of 16 years. All members must appear on the same medicare card. Any persons 16 years or older are required to obtain an individual 'senior membership'.
Senior Membership Price
Price: $ 50.00
For more information regarding our price list, please refer to our prices page.
Junior Membership Price
Price: $ 35.00
For more information regarding our price list, please refer to our prices page.
Is applicant under 18 years of age?
- Yes
- No

Part A - Contact Details (must be senior member if applying for family membership)
Full Name*
First Last
New Member Date of Birth
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Contact Phone (mobile)*
Contact Phone (home)
Contact Email Address*

In Case of Emergency Contact (Name)*
Relationship to you*
Eg: parent, guardian, family friend, etc.
Phone Number of Contact

Part B - For Family Membership Only

PRESS THE 'NEXT' BUTTON TO SKIP THIS SECTION IF NOT APPLYING FOR A 'FAMILY MEMBERSHIP'.

Medicare card may need to be provided upon request once membership is being processed.
Family Member 2 Name
First Last
Family Member 2 Date of Birth
Family Member 3 Name
First Last
Family Member 3 Date of Birth
Family Member 4 Name
First Last
Family Member 4 Date of Birth
Family Member 5 Name
First Last
Family Member 5 Date of Birth

RECREATIONAL RIDING RULES AND INDEMNITY

As a condition of entry into Nowra Motoplex (NMP), all customers, riders, legal guardians or spouses acknowledge that they are responsible for ensuring that they and all persons accompanying them to the complex abide by the conditions outlined in our document linked below.

Click here to read our: Nowra Motoplex Recreational Riding Rules and Indemnity (opens in a new page)
Terms and conditions agreement*
- I the undersigned state that I have read and understood the declaration linked above (including the warning, indemnity and release) and agree to the terms and conditions as stated
Full Name*
First Last

Part C - Parent / Guardian Consent – for applicants or family membership consisting of any members which are under 18 years of age

PRESS THE 'Continue to process payment' BUTTON TO SKIP THIS SECTION AND FINALISE PAYMENT.
Part C - Parent / Guardian Consent - for applicants or family membership consisting of any members which are under 18 years of age

I/we being the parent / guardian of the applicant/s do hereby acknowledge that:
- I/we have read and understand the terms and conditions associated with this membership including the complex rules and indemnity.
- I/we consent to the applicant/s participating in motorcycle activity at NMP
- I/we accept that the flora and fauna management is crucial to the future of NMP and will not purposely damage, vandalise or harm the surrounding environment in any way and will not travel off marked tracks or trails at any time.
- I/we are aware of the risks and dangers associated with motorcycle activity at NMP
- I/we understand it is my responsibility as parent/guardian (where applicable) to, at all times, supervise the applicant/s whilst they are at NMP
- I/we understand that NMP may use the above details to contact me from time to time or use this information for advertising or data purposes.
- In consideration of the applicants above being accepted as member/s, I hereby indemnify all parties listed in the release.
- I/we acknowledge that medical transportation in the event of injury is my responsibility and any cost incurred for medical transportation will be borne by the applicant/s or I/we as the applicant’s parent/guardian where applicable.
- I/we acknowledge that NMP takes no responsibility for any damage caused to, or any theft of, our belongings or equipment whilst at NMP.
- I/we acknowledge that NMP is not obligated to accept this membership and may terminate, suspend or set conditions upon it at any time they see fit.
- That only those listed on this release will be permitted to approve the applicant/s (if juniors or family membership) for participation unless a completed change of guardianship form is supplied.
THIRD PARTY INDEMNITY - WHERE PARTICIPANT IS UNDER 18 YEARS OF AGE

I/WE being the parents or guardians of the person named in Clause 1 (hereinafter called "the entrant") HEREBY ACKNOWLEDGE:

a) I/we have read the whole of this document and understand it;

b) I/we consent to the applicant becoming a member of MA and the relevant SCB and participating in Motorcycling Activities; AND

c) I/we are aware of the risks, dangers and obligations set out in Clause 3 of the participant declaration;

d) I/we acknowledge that the applicant is bound by and subject to the rules and policies of MA and the relevant SCB, including, without limitation, the MA anti-doping policy.

IN CONSIDERATION of the applicant being accepted as a member I/WE HEREBY INDEMNIFY AND RELEASE the Motorcycling Organisations in the same manner and to the same effect as if I/WE were the applicant and agree to personally accept all terms and conditions and obligations set out in this declaration.
Parent / Guardian Name (1)
First Last
Parent / Guardian Name (2)
First Last
Third party terms & conditions agreement
- I acknowledge that I have read, understood and accept the terms and conditions associated with this membership including the NMP Rules and the attached indemnity as outlined in step 5.

Membership Application

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