Membership

Please complete the following form to create a Team App account and join MUMC.

If you already have a Team App account, please log-in now.

AGREE TO PROVIDE DETAILS

New User Account

Member Details

Emergency Contact Details

Custom added membership fields

Year of Membership

Please select your student type and Melbourne University affiliation.

Please enter your University of Melbourne student number (write N/A if not applicable).

If Other Student (not Melbourne University), what university or institution are you a student at?

Next of Kin Name
Next of Kin Relationship

This number can be overseas but your emergency contact MUST have an Australian phone number.

- I wish to become a member of the Melbourne University Mountaineering Club Incorporated – hereafter MUMC – for the year entered under “Year of Membership”. I support the purposes of MUMC, contained in its Constitution. I agree to comply with the Constitution and all other rules of the association being in force from time to time and undertake to read the activity code or codes relevant to the Club Activities I choose to undertake.

- I declare I am aged 18 years or older.

- I understand and agree that:

> It is my responsibility to have my health and well-being assessed to determine if I am physically fit and able to participate in any Club Activities;

> Club Activities are voluntary and I choose to participate in them of my own free will;

> My participation in Club Activities may expose me to risk of personal injury;

> It is a condition of my participation in Club Activities that I participate at my own risk;

> The coordinators of any Club Activities may at any time exclude me from participation in Club Activities in their absolute discretion; and

> Unless I have the legal capacity to do so on my own, any representative of the University or MUMC responsible for any Club Activities may authorise on my behalf such medical assistance as that representative considers necessary in the event of an accident or other emergency situation. I undertake to be responsible for the cost of any such medical assistance.

- As a condition of my participation in Club Activities, I agree that to the extent that the law allows, the University of Melbourne, MUMC and its members are absolved from all liability arising from injury or damage to me, however it is caused (whether fatal or otherwise) whilst participating in Club Activities.

- I understand that should I be involved in an incident in the course of an officially sanctioned MUMC trip, I am covered by insurance provided by the Melbourne University Sports Association for loss or damage of university equipment and public liability, and any appropriate claim that I make from this body must be made in a timely manner.

- Ambulance cover is NOT provided through membership of MUMC. It is strongly recommended that all members have ambulance insurance.

MUMC will use your email address to send you membership information, information relating to trips you have signed up for and general club announcements. You may cease receiving general club announcements by unsubscribing from the MUMC mailing list at any time.

MU Sport (MUS) will observe the requirements of the Information Privacy Act. We collect your information for the purpose of providing you access to our sporting facilities and services, and it is also retained for the development of a Sports Alumni program at the University of Melbourne. By completing this form you consent to MUS using your information for these purposes. If, in the future you may decline to be involved in the Sports Alumni program by contacting MUS. You can also contact MUS for a copy of the MUS Privacy Policy, or obtain a copy from

http://www.sport.unimelb.edu.au/about/MUSPrivacyStatement.pdf

If you have paid for your membership with cash, you will have received a receipt with a receipt number. Please enter your receipt number below.