Membership form Name Post code Mobile number Email address Name(s) and Age(s) of child(ren) attending How did you find out about the group? Returning MemberSocial MediaWord of MouthOther (Please specify below) Other (Please specify) Please tell us about your special interests $10 Membership fee payment method Cash in person at previous/next sessionVia EFT to MWG bank account (BSB- 062 904 Acct No- 0090 5063)Request waiver of fee due to financial hardship Demographic Information *Demographic information is kindly requested by our funding bodies, but is not mandatory for you to answer. Age Nationality Language/s spoken at home Gender/Pronouns Sexual Orientation Participating in weekly group sessions I accept all responsibility and liability for myself when participating in the physical and non-physical activities each week at Majura Women’s Group. I agree to closely monitor any children I may have with me in the session room during the weekly group meetings. I absolve Majura Women’s Group and their committee of any liability in the event of an accident, emergency or injury that may occur to me or any children in my care. Social Media Waiver I understand that at a Majura Women’s Group weekly group session I may be photographed. I agree to allow my photo, video, or film likeness to be used on MWG Facebook page and website. I consent to appearing in photos that may be used on social media. Terms and Conditions I hereby certify that I have read this document and I agree to its content. Signature (Your full name) *
