2010-2011 NEW MEMBERSHIP Application Form
Current ORIC Members - Please click here for Membership Renewal Form

download pdf version
Name of Organisation
Nominated Contact Person

ABN Registration No.
Postal Address
Postcode
Street Address
 (if different from above)
Telephone
Fax
Mobile
Email
Web Address

Type of Business

(Check all that are applicable)

Sole Proprietor
Limited Company
Public Company
Association
School
Religious / Ministry
Volunteer
School-owned Property
Registered Operator of Duke of Edinburgh Award
Other

Style of Business

(Check all that are applicable)

Group Accommodation
Conference Facility
Outsourcing provider
Tours and Travel groups
Off-site Activity Provider
Catered Operation
Adventure Activities
Corporate
Environmental Studies and Education
Other
Does your business carry Public Liability Insurance for all activities?
No Yes
Is your insurance provider APRA Approved?
No Yes

How many Client Days are provided per year?


Total No. of Persons Employed?


Full-Time Equivalent Number?

Casual Equivalent Number?

Volunteers?

Do you or your staff work with children in the course of your work?
No Yes
Have you completed 'Child Protection Checks' for all staff working with children?
No Yes
Do you have a 'Child Protection Reporting' procedure in place?
No Yes

Do you use State Forests?
No Yes
How Many Day Visits per year
do you enter State Forests?
1 to 49    50 to 99    100+
Do you use National Parks?
No Yes
How Many Day Visits per year
do you use National Parks?
1 to 49    50 to 99    100+
How Many Overnight Stays per year do you use National Parks?
1 to 49    50 to 99    100+
Do you hold a NPWS Licence?
No
Yes - Licence No.   
Do you operate:

Row boats - how many? 
Canoes - how many?     
Kayaks - how many?     
Sailing- how many?       

Do you hold a NSW Maritime
Hire & Drive Licence?
No
Yes - Licence No.  
Australian Journal of Outdoor
Education (AJOE) Option

Yes - I would like to receive the AJOE at a cost
      of $25/year (AJOE is published twice per year)

No - I do not with to receive the AJOE)

  
Comments
 

STEP 1: By filling in and submitting the above form you have completed Step 1.

STEP 2: New Membership Registration Fees

Please go HERE, print out the page and FAX to ORIC

Membership valid 1 April 2010 - 31 March 2011

Joining Fee
$155.00
    
Annual Membership
$499.00
    
TOTAL
$654.00
 (+GST) = $719.40

Please print out Credit Card Authorisation Form and

FAX to ORIC on 9487 8666 or
MAIL to PO Box 634, Wahroonga NSW 2076

Invoice issued will become a Tax Invoice for GST purposes only after ORIC has received full payment.

Signature acknowledges Membership Registration Terms & Conditions.

      

 

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