Membership Application – Town and Country Naturists

HAVE A QUESTION? CALL US 0452 46 23 26

Our Details

Adam and Eve Social Club Incorporated

Whilst your personal information is secure and never distributed to any other organization or person by this club - for the safety of all members every applicant will supply or show some form of photo identity with their application. This standard is set by the INF, the ANF and, in turn, the Adam & Eve Club. Then make the call.

0452 46 23 26

adamandeveclub@hotmail.com

Complete The Following Details

Your Name (required)

Your Preferred Name (if wanted)

Your Email (required)

Phone (required)

Your Street Address, Suburb/Town and Postal Code (required - just like any sporting, social or RSL club)

Date of Birth (required)

Place of Birth (required)

INF Passport # (if any)

Other Naturist Club Membership (if any)

OPTIONAL >> If you have a current Australian permit to work with the Elderly or with Children upload a copy below. For the safety of vulnerable people this club will only allow ‘permitted people’ external to a natural family to attend some family events or locations. This is why we say "Safer Plaecs - Safer People"

Card Details

State of Issue

Card Number

Expiry Date

I understand that my membership is provisional until ordinary membership is granted: YesNo

I have read this brochure, fact sheet and agree with the objects, Non Disclosure Agreement and standards: YesNo

Have you had a criminal conviction in the last five years?: YesNo

Referees or Lifestyle History (optional)

How did you find out about Town and Country Naturists?

I agree that by checking this following box - and agree that this is in lieu of my signature.

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