Musical Society Mildura Inc
2020/21 Membership Registration
Please read our policy manual
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Full Name *
Email Address *
Phone Number *
Postal Address *
Date of Birth (dd/mm/yy) *
Under 18 - Parent or Guardian - Name/Phone/Relationship
Membership Fees
Adult
Yearly Membership $40.00
Show Levy $20.00
Total = $60.00

Child (U18)
Yearly Membership $30.00
Show Levy $15.00
Total = $45.00

Crew/Orchestra Members
Yearly Membership Adult $40.00, Child (U18) $30.00
Show Levy is waived

Family membership – A capped $90 family membership for parent/s and children or a sibling group below 18yrs of age. (Where individual m/ship total is more than $90)

Life Member
Yearly Membership waived
Show Levy $20.00


Yearly Membership Fees are now due.
They must be paid within the first month of rehearsal.
If you wish to pay by instalments please discuss with Bill Marriott prior to making first payment.

Payments can be made in person to Bill Marriott or via Direct Deposit.

Musical Society Mildura
Bendigo Bank
BSB: 633 000
Account: 129058574
Reference: Member Name & Fees (eg. B.Simpson/Fees OR H.Simpson/Levy)


Preferred Payment Method *
Working with Children Check
If you are 18 or over you will need to obtain a WWCC. This is free for Volunteers and can be completed at

http://www.workingwithchildren.vic.gov.au 

Enter the following details when applying

Musical Society Mildura
PO Box 212
Mildura VIC 3502

Contact Details:
Matthew Capp
0419 234838

Choose option 42 (clubs, associations or movements of a cultural, recreation or sporting nature)

You will have to complete your application in person at an Australian Post Branch.

If you have a VIT registration you are exempt. Please enter your details below

Do you have a Working with Children Card? *
If you selected 'Yes' please provide your WWCC number or VIT registration number                                                                  
Have you updated your details to include 'Musical Society Mildura' as an Organisation you volunteer with? You can do that by following this link http://www.workingwithchildren.vic.gov.au/home/cardholders/update+your+details/
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Emergency Details
Let us know if you have any medical conditions we should be aware of and who we should contact in an emergency.
Do you have any allergies or medical conditions?
Emergency Contact Details - Name/Phone/Relationship
Would you like to assist with any of the following?
Are you aware of any upcoming dates that you will be unavailable for rehearsals?
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Policy declaration: I have read and understood the complete contents of the "Musical Society Mildura Policy and Procedure Manual" and I agree to the terms and conditions of this document. (If member is under 18yrs a parent or guardian must read and understand document) *
Required
Video/photo consent:  I hereby give my consent to Musical Society Mildura Inc, to use my image and likeness and/or any interview statements from me in its publications, advertising or other media activities including the Internet and social media. (There will be a full form to sign given out at rehearsal) *
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