Archery Australia Inc

Archery Australia Inc

insert ClubName>

Application for Membership

New Member Renewing Member Previous Member 

Recognised Governing Body (RGB):ARCHERY South Australia

Applicant’s Details:[please print clearly]AA Membership No…………..……

(Renewing/Previous Member)

Surname .…………………………………..………………………… Given Name(s)………………….………………………………………......

Gender:Male Female Date of Birth(required)DD…/…MM…/…YYYY…..

Residential Address:

……………………………………………………….………………………………………………….…..…………………PostCode.………………..

Mailing Address (if same as Residential Address, write “AS ABOVE”)

…………………………………………………………………….………………………………………..……………….…PostCode………………...

Telephone ……..…………………………………….Mobile…………………………………………

Email………………………………….………………………………….……………………………………………...

Current/Intended Bow Type:Recurve Compound Longbow Crossbow

Style:Freestyle Barebow Archer with a Disability (Standing Wheelchair )

Is thereany medical, physical or intellectual condition/injury that may either be aggravated or that may impair you/your child’sability to

participate in archery?Yes/NoIf yes, please provide details:

………………………………………………………………………………………………………………………………………………………………..

Membership Applied for:Shooting Non-Shooting Member Associate Social

Adult Minor Family (number of adults……… number of minors……….)

PRIVACY DISCLAIMER –The collection of these details is primarily so that we can register you as a member of the Club and as an affiliate of ARCHERY SA and Archery Australia. This information will be stored in the MyArchery database and will only be used for the purpose of providing information to you. If you do not wish your details to be made available, please tick this box [ ]. If you do not tick the box, then the Club will consider that the individual completing this form consents to the personal details being used in the manner indicated.

(Refer also overleaf)

ADDITIONAL CONDITIONS OF MEMBERSHIP TO <insert CLUBNAME>

In making this Application for Membership, I acknowledge:

The information provided will be used and retained by the Club, ARCHERY South Australia and Archery Australia and will not be provided to third parties for commercial purposes. (A full copy of the Archery Australia privacy policy is available at

And agree to abide by the Essence of Australian Sport Code of Conduct (available at http://www.ausport.gov.au/supporting/clubs), the General Provisions of the Code of Behaviour being (and intended to be the minimum standard for anyone involved in the sport of archery):

  • Operate within the rules and spirit of the sport, promoting fair play over winning at any cost
  • Encourage and support opportunities for people to learn appropriate behaviours and skills
  • Support opportunities for participation in all aspects of the sport
  • Treat each person as an individual
  • Display control and courtesy to all involved with the sport
  • Respect the rights and worth of every person regardless of their gender, ability, cultural background or religion
  • Respect the decisions of officials, coaches and administrators in the conduct of the sport
  • Wherever practical, avoid unaccompanied and unobserved one-on-one activity (when in a supervisory capacity or where a power imbalance will exist) with people under the age of 18 years
  • Adopt appropriate and responsible behaviour in all interactions
  • Adopt responsible behaviour in relation to alcohol and other drugs
  • Act with integrity and objectivity, and accept responsibility for your decisions and actions
  • Ensure your decisions and actions contribute to a safe environment
  • Ensure your decisions and actions contribute to a harassment free environment
  • Do not tolerate harmful or abusive behaviours.

It is a condition of joining <insert CLUB NAME> that I:

(tick one box only)

have completed a course of instruction in the sport of Archery with this Club or another Archery Australia Club or

am transferring from an existing Archery Club (please specify

…………………………………………………………………………………...) or

am an existing Club Member renewing my membership.

ASSOCIATE MEMBERSHIP ONLY:

I understand and acknowledge that:

  • A Club Associate is a person who is already registered with Archery Australia and ARCHERY South Australia through one Club, but is also seeking Associate Membership with this Club
  • I am required to pay the Club Associate fee charged by the Club, but I am not required to pay the Archery Australia or ARCHERY South Australiacomponents of the fees (as these have been paid to my principalClub) (My full membership with the principal Club is due to expire on / / )
  • In tournaments, I will represent the Club through which I am registered with Archery Australia and ARCHERY South Australia
  • By virtue of my registration with Archery Australia and ARCHERY South Australia, I will comply with all the Rules, Regulations and Policies of Archery Australia and ARCHERY South Australia
  • The fee charged and rules imposed for Club Associate Membershipare the responsibility of this Club.

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