Join us in 2025
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Adventurer's name
*
First
Last
Date of birth
*
Date of birth
Home Address
*
Home Address
School
School
School Year in 2025
School Year in 2025
Are you an existing New Hope Adventurer Club member
*
Yes
No
Please tick the class invested in 2024:
Little Lamb (4yrs)
Early Bird (5yrs)
Busy Bee (6yrs)
Sunbeam (7yrs)
Builder (8yrs)
Helping Hand (9yrs)
What class do you wish to join in 2025
*
Select one
Little Lamb (4yrs)
Early Bird (5yrs)
Busy Bees (6yrs)
Sunbeam (7yrs)
Builder (8yrs)
Helping Hand (9yrs)
Any known medical condition?
*
Yes
No
If yes, please provide details
Allergies
*
Yes
No
Please select the specific allergy
Food
Nuts
Plants
Drugs (medication)
Bee stings
Other
Please provide more details about if you selected other
Medicare
*
Position on card
*
1
1
2
3
4
5
6
7
8
Position on card
Parent/Guardian Name
*
First
Last
Parent/Guardian Phone
*
Parent/Guardian Phone
Parent/Guardian Email
*
Parent/Guardian Email
As a parent/guardian I have worked with Adventurers in the following activities:
Parent/Guardian Working with Children Check Number (WWCC)
the New join
I am willing to assist the New Adventurer Club in:
*
Being a teacher/counsellor
Snack/refreshment team
Transport
Fundraising
Making a donation
Sewing badges – sash
Emergency Contact 1
*
First
Last
Relationship to Adventurer
*
Phone Number
*
Phone Number
Emergency Contact 2
*
First
Last
Relationship to Adventurer
*
Phone Number
*
Phone Number
CONSENT & RELEASE – TO BE COMPLETED BY PARENT/GUARDIAN
*
I agree and consent
We have read the requirements for membership in the New Hope Adventurer Club and certify that my child has reached the age of 4 years or over. We wish that he/she becomes an Adventurer.
As parents/guardians, we understand that the Adventurer Club Program is an active one for the applicant. It includes many opportunities for service, adventure, and fun.
In the event of accident or illness, I also authorise the Adventurer Director to consent, where it is impractical or communicated with me, for me / my child to receive any x-ray examination, anesthetic, medical, surgical, or hospital treatment as may be deemed necessary by a licensed physician and/or surgeon. I also authorise to engage such treatment. I agree to pay the appropriate fees for such and any ambulance or other emergency transportation costs, which may be required.
I agree to meet the expense of me / my child being returned home, by the director or leaders. I understand that such an arrangement may be necessary due to illness, injury, or if, in the opinion of the Adventurer Director, non-cooperation of any description or the inability to meet the rigours and requirements of the activity.
I agree with me / my child attending the club on this understanding. If you do not want your child/ren to be photographed then you need to write a letter to the Adventurer Director.
I give permission to use photos of my child for promoting and reporting purposes
*
Yes
No
I accept to pay for 2025 Club membership
*
1st Child –
$45.00
2nd Child –
$25.00
3rd Child –
$15.00
4th Child –
$0.00
I would like to purchase New Hope Adventurer Club uniform
*
Field Polo Shirt –
$18.00
No Thanks –
$0.00
Please select the size
No size selected
Kids size 6
Kids size 4
Kids size 8
Kids size 10
Kids size 12
Kids size 14
If yes, Please select the size
Credit Card Details
*
Please remember to Submit the Registration form after payment has been successfully processed.
Submit Registration
