North Shore Tramping Club Inc. P.O.Box 33-262 Takapuna The North Shore Tramping Club Inc. was founded in 1968 and caters for people of all ages from 7 to 70 plus. Membership is in three categories - Family (Parents and children who qualify as juniors), Ordinary/Senior (18 or over), Junior (under 18 and not working) The subscription is fixed annually with all trip costs extra. Intending members must first attend two qualifying club trips before applying for membership. Children under the age of 14 must be in the charge of an adult. Regular day and weekend trips are organised. A monthly newsletter is issued to members to keep them informed of activities, trip costs and times and gear requirements. Those interested in tramping with the club can obtain a copy from the Membership Secretary. Intending members are welcome at Club social night, held at 7.30 pm on the last Wednesday in each month (except December & January) in the Senior Citizens Hall, The Strand, Takapuna. APPLICATION FOR MEMBERSHIP Do NOT attach any money; you will be advised when you have been accepted and the subscription due. All parts of this form MUST be completed before forwarding it to the Club for consideration. NAME:......................................................................................... ADDRESS:...................................................................................... .............................................................................................. PHONE: Home: ...................... EMAIL: .................................. AGE:............ TYPE OF MEMBERSHIP:(Family,Ordinary,Junior) .................................................. OCCUPATION : ..................................... NAMES OF FAMILY MEMBERS ( FOR FAMILY MEMBERSHIP ONLY ): AGE .................................................. .............. .................................................. .............. QUALIFYING CLUB TRIPS COMPLETED: 1) ................................... LEADER ..................... DATE ...../...../..... 2) ................................... LEADER ..................... DATE ...../...../..... NOMINATED BY ( CLUB MEMBER ): ........................................ SECONDED BY ( COMMITTEE ) : ........................................ PREVIOUS TRAMPING EXPERIENCE: ................................................................ .............................................................................................. .............................................................................................. HEALTH CONDITIONS: For safety reasons, please disclose the details of any relevant health conditioNs, whether physical or mental, which may impact on your ability to participate in any club activity. The information yoU provide will be confidential to the Membership Secretary and to relevant group leaders unless the circumstances or the condition makes it necessary to inform others for the safety of yourself or anyone else in any group activity. The information must be set out in the space provided below for a membership application, grant, or renewal of membership, to be valid. ............................................................................................. ............................................................................................. ............................................................................................. NEXT OF KIN: The person/people who should be contacted by the club or the Police if you meet with an accident while tramping. NAME: .................................... ADDRESS: .................................................................... PHONE: ............................. I consent to the collection of the above details by the North Shore Tramping Club Inc. for the purpose of club membership records and for NSTC to retain, use and disclose these to other NSTC members, Federated Mountain Clubs Inc., the Registrar of Incorporated Societies and the Hillary Commission provided that the information relating to Health Conditions and Next of Kin will be kept confidential as specified above. I acknowledge my right to access and correction of this information. This consent is given in accordance with the Privacy Act 1993. I agree to abide by the Constitution and Rules of the North Shore Tramping Club Inc. APPLICANT'S SIGNATURE: .................................................................. DATE: ........................................ SIGNATURES OF FAMILY MEMBERS COVERED BY THIS MEMBERSHIP APPLICATION .............................................. ..............................................