Membership Forms OMCC Annual Membership Application 1. About you 2. Family 3. Indemnity 1 4. Indemnity 2 5. Indemnity 3 6. Payment Spam protection, skip this field Disclaimer: (optional) WARNING THIS IS AN IMPORTANT DOCUMENT IT EFFECTS YOUR LEGAL RIGHTS AND OBLIGATIONS. READ IT CAREFULLY AND DO NOT AGREE UNLESS YOU ARE SATISFIED YOU UNDERSTAND IT. Your Details Email address First Name Last Name Phone Number Address e.g. 1 Simpsons Road, Clayton South, VIC, 3169 OMCC Membership Number (e.g. 123) (optional) AMA Membership Number AMA Go to: https://amaclubs.com.au. Login > My Subscriptions > Download Membership Card > Your number will be on that AMA Membership Expiration Date Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 Membership Category Metro Melbourne Inc Mornington Peninsula | $160 per year Non-Metro Melbourne | $80 per year Metro Melbourne Supervisor Discount | $120 per year | not available to new members Life Member | No Charge Membership fees are pro-rata. Currently they are reduced by 50% from the amount shown above. Memberships include your family members living at your residential address. For the period of 1st Jan-31st Dec. Dependents & Family Members Details (if applicable) First Name (Family Member 1) (optional) Last Name (Family Member 1) (optional) First Name (Family Member 2) (optional) Last Name (Family Member 2) (optional) First Name (Family Member 3) (optional) Last Name (Family Member 3) (optional) Indemnity 1 of 3 CONTRACT TO PARTICIPATE IN PRACTICE ACTIVITY UNDER LIMITED SUPERVISION AT OAKLEIGH MOTORCYCLE CLUB GROUNDS. I hereby agree with Oakleigh Motorcycle Club Inc. (here in after called the club) that I am by this agreement entitled to the use of club grounds and facilities for the purposes of the MOTORCYCLE RIDING PRACTICE that is non competitive in nature and for the purposes therefore of improvement of skills and fitness under the terms and conditions set out in this document.I also agree to adhere to those rules of safety and conduct as the Oakleigh Motor Cycle Club requires whilst within their jurisdiction or upon their grounds Do You Agree? Choose Yes Indemnity 2 of 3 ACKNOWLEDGEMENT OF RISKS, DANGERS AND OBLIGATIONS I acknowledge that motorcycle sport is dangerous and that by engaging in the sport and participating in the activity I am exposed to certain risks and dangers and am under certain obligations as follows: a) that I may be injured, physically or mentally, and may be killed;b) that my machinery or equipment may be damaged, lost or destroyed;c) that other riders may ride dangerously or with lack of skill;d) that track or course conditions may be hazardous and may vary without warning or predictability;e) that the club, officials, landowners/track operators and any agents or representatives of those in charge of activities are frequently obliged to make decisions under pressure of time or events;f) that any policy of insurance or in respect of my life or mental health may be voided;g) that there may be no or inadequate facilities for treatment or transport of me if I am injured;h) that I have an obligation to myself and to others to participate safely and withing the rules CONTRACT TO PARTICIPATE IN PRACTICE ACTIVITY UNDER LIMITED SUPERVISION AT OAKLEIGH MOTORCYCLE CLUB GROUNDS. I hereby agree with Oakleigh Motorcycle Club Inc. (here in after called the club) that I am by this agreement entitled to the use of club grounds and facilities for the purposes of the MOTORCYCLE RIDING PRACTICE that is non competitive in nature and for the purposes therefore of improvement of skills and fitness under the terms and conditions set out in this document.I also agree to adhere to those rules of safety and conduct as the Oakleigh Motor Cycle Club requires whilst within their jurisdiction or upon their grounds Do You Agree? Choose Yes Indemnity 3 of 3 INDEMNITY GIVEN TO THE CLUB AND/OR THEIR OFFICIALS AND MEMBERS In consideration of the acceptance of me as a participant in the riding activity I AGREE: a) that I participate in the activity at my sole risk and responsibility;b) that I accept the venue as it stands with all or any defect hidden or exposed;c) that I indemnify and hold harmless the club, the land owner, their respective servants, agents or officials against any actions or claims which may be made by me or on my behalf or by other parties for or in respect of or arising out of death or any injury loss or damage caused by me or to my machinery or equipment whether caused by negligence, breach of contract, or in any other manner whatsoever.d) I hereby acknowledge, as a parent (or guardian) of the persons(s) named below that: (i) I have read the whole of the document and understand it;(ii) I consent to the named person(s) participating in the activity ; AND (iii) I am aware of the risks, dangers and obligations set out above. In consideration of the person(s) being accepted as a participant (or Participants) in the activity I hereby indemnify the club in the same manner and to the same effect as if I were the participant(s) Do You Agree? Choose Yes Payment $ Card number Australian Dollars (AUD) Save draft