I/We wish to participate in a trip (as indicated below), organised by the Otago Youth Adventure Trust/ Rotary Club of Milton Tramping Club. I/We enclose the required deposit**, as well as the Tramping Club membership sub, + optional donation, and understand that the balance will be due 8 weeks before the trip.
I/We agree that I/we participate in this (these) trip(s) entirely at my/our own risk, and undertake that I/we shall not hold the Tramping Club, or any of its Officials or Servants liable for any injury or mishap to my/our self(ves), or loss or damage of property whatsoever. Signed by all applicants listed below.
| Signature(s) | ...................................................................................................................................... |
| ...................................................................................................................................... | |
| Date Signed | .......................................... |
Trip Requested (If more than 1 trip, please use a separate form for each trip)
| .............................................................................................................. | Date.............................. |
| .............................................................................. Also give 2nd choice of date in case 1st choice is full | |
|
Name(s) |
Age Catagory |
|
if under 18 exact age. A= 18-35, B =
35-50, C= 51-65, D = 65+ |
| ................................................................................... | ..................... |
| ................................................................................... | ..................... |
| ................................................................................... | ..................... |
| ................................................................................... | ..................... |
| Address | ................................................................................................................................ |
| ................................................................................................................................ | |
| Phone | ................................................... |
| ................................................................. (if applicable. Please write plainly) |
Please send Milford,
Routeburn/Greenstone, Huxley & Borland TrackBookings to Peter Vollweiler,
P.O. Box 15014, Waihola, Sth Otago. 9243 |
Please
Send Catlins, Aspiring & Berwick Lodge bookings to |
| Please
Send Cycle Trail bookings to Ivan Dickinson, 33 Keinan Ave, Milton, Sth Otago. 9220 Ph (03) 417 8239, email busybees@xtra.co.nz |
Please Send Kepler & Hump RidgeTrack bookings to |
Make cheques out to OYAT/Milton Rotary Tramping Club or...
| If you wish to pay by direct credit, our bank account number is 060936 0051737 00, National Bank of NZ, Milton Branch. BUT YOU MUST ADVISE US, AND ENSURE YOUR NAME AND TRIP IS RECORDED IN THE TRANSACTION, AND RETURN THIS COMPLETED FORM. | |||
|
Payment Details, Please enter |
|||
| Remember to include your Club Membership and hopefully your Donation Your application will be acknowledged, and you will receive further information. |
Trip
Deposit Club Membership Donation TOTAL |
$.................... $.................... $.................... $.................... |
|
-------------------------------------------------------------
Tramping Club Membership. Please complete (Mandatory for taking part in Tramps)
I/we apply for for membership to the Otago Youth Adventure Trust/Rotary Club of Milton Tramping Club Inc
for the 2010-2011 tramping season. I /we include the payment of $35 per adult, $25 schoolchild, $95 Family membership. Note “family membership” is parent(s) and dependent children.
Signed.......................................................................................
PLEASE NOTE. The Tramping Club Management Committee reserve the right to cancel any trip, if due to insufficient numbers or any other reason it may decide that it is not possible to proceed with. Should this be the case, the Committee would give early notification, offer participation in other trips, or refund all fees paid (including membership) in full.