Join the Blamey Community Group for Friendship and Support

Step 1 of 6

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Serving Member/First Adult

Surname(Required)

First name(Required)

Mobile(Required)

Address(Required)

Email(Required)

Second Adult

Surname

First name

Mobile

Address

Emergency Contact

Name(Required)

First name

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Surname(Required)

Surname

Mobile(Required)

Address(Required)

Home Phone

Are you a Defence Family currently residing in the Wagga Wagga Region?

Yes

Defence Affiliated

List your dependents if any(Children under the age of 18):

Name

Age

Name

Age

Name

Age

Name

Age

Immunisations up to Date? Yes/No

Please indicate the services you would like to use at the Blamey Community Group:

(Required)

Educational classes

Morning Teas

Bootcamps/exercise

Accredited training

Bookclub

Holiday programs

Playgroup

TEEN programs

Before/after school care(interest only)

Spouse business services

Spouse days

Would you like to join our committee?

Other

Other:

We provide updates by a number of different options. Please circle the best option that suits you:(Required)

Facebook

Noticeboard

Other

Facebook Profile Name (so we can add you to our members only facebook group, so keep an eye out for Blamey Community Co-ordinator to add you)

On occasion, photos may be taken of Blamey Community Group activities for advertising/promotion such as Facebook, newsletters, brochures, Kapooka Chronicle articles. Do you give your permission for photographs of all persons listed above to be used by Blamey Community Group(Required)

Yes

Adults only

Would you like to join our committee(Required)

Yes

I have read the code of conduct (Link can be found at the top of this form), I hereby agree to these terms(Required)

Yes

Allergy Agreement: By signing this form I agree that I will contribute to an allergy free environment at Blamey Community Group as referred to in the Policies and Procedures Manual.(Required)

Date(Required)

DD slash MM slash YYYY

Please click submit only once, it may take time for the transaction to be processed.

Membership

Price:

Yearly Family Membership

Total

Credit Card

Cardholder Name

Card Details

Membership

Ready to be a part of our community story?

Serving Member/First Adult

Second Adult

Emergency Contact

List your dependents if any(Children under the age of 18):

Please indicate the services you would like to use at the Blamey Community Group: