Club Affiliation Form

Name

This field is for validation purposes and should be left unchanged.

Full name of Club*

Note: The club name MUST be the same as that on your Incorporation Certificate.

I.e.; if the club has “Inc” or “Incorporated” in its name then it must be included here.

Street address of club grounds*

Street Address Address Line 2 City State Post Code

Google earth coordinates of club grounds

Google earth longitude

President*

President 3DAAA Number*

President Membership Expiry Date*

Secretary*

Secretary 3DAAA Number*

Secretary Membership Expiry Date*

Treasurer*

Treasurer 3DAAA Number*

Treasurer Membership Expiry Date*

Club AGM Date*

Provides 3DAAA the date at which the club has its Annual General Meeting. (If this date has not been decided place the 1st of the month it is normally held)

Club contact details*

Street Address Address Line 2 City State Post Code

Phone number*

Email*

Club Range Setters*

Please include NAME, MEMBERSHIP NUMBER & LEVEL.

Other contact details

Any other contact details you’d like on the club page of the 3DAAA website should be provided here.

Is your club Incorporated*

Yes
No

Is your Club Dual Affiliated*

No
ABA
AA
Other

Other Dual Affiliation

List regular club activities*

e.g. club shoot 3rd Sunday of the month unless a sanctioned shoot on the same weekend

Names, addresses and interest of any Interested Parties you require added to the insurance*

e.g. Morton Bay Regional Council, PO Box 159, Absoluter Old 4510, Lesser

Club Website

If your club doesn’t have a dedicated website place your facebook account here

Club Membership List*

Please attach a full listing of your club’s membership with this application. Affiliation applications will only be considered if all requirements are received.

Max. file size: 32 MB.

Club Risk Assessment (including Infectious Diseases Policy)*

Max. file size: 32 MB.

Provide up to date Information of the Proposed Shooting year, (Next Years shooting calendar) If your club does not have a Risk Assessment contact secretary@3daaa.com.au for assistance. We understand that situations can change which will change these documents. 3DAAA will advise clubs if changing circumstances will have an impact of Insurance cover.

Club Calendar

Max. file size: 32 MB.

Recommended

Annual Fee

The annual affiliation fee of $250 for clubs NOT running a sanctioned event. The Annual affiliation fee is $100 for clubs running one or more Sanctioned or Special events. This is to be included with this application irrespective of the date of lodgment

Price:

Annual Fee

Total

$ 0.00

Once your affiliation form has been received, an invoice will be sent to your club for payment of your annual affiliation fee.

CERTIFICATION*

In making this application, the Club agrees to be bound by the Association’s current Constitution, Policies, Rules and Procedures. If, in the opinion of the Association, the club violates any of these requirements, it recognizes the right of the Association to terminate, suspend or downgrade such Affiliation, for any period it determines. Furthermore I agree to the Association displaying any information contained herein on their website

I Agree
Do Not Agree

NO CLAIMS DECLARATION*

1. After full enquiry the 3DAAA Affiliated Club is NOT AWARE of any claim having been made against 3DAAA, Affiliated Club or any principal, partner, director, employee or Member whilst in this or any other business other than as detailed in the 3DAAA current Constitution, Policies, Rules and Procedures. 2. After full enquiry the 3DAAA Club is NOT AWARE of any circumstance or incident which has or could result in any claim being made against 3DAAA, Affiliated Club or any principal, partner, director, employee or Member whilst in this or any other business.

Agree
Do Not Agree

AUTHORISATION*

I am authorised by the club (name above) to complete the 3DAAA Club Affiliation form on their behalf.

President
Secretary
Treasurer

Date of Declaration*

Signature*

Club Affiliation Form

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