Full name
Preferred first name for nametag
Occupation
Name of Employer
Work Location
Home Address
Postal Address (If different from home address)
Contact Information
Upload documentation* (Please attach a copy of the documentation)
Make
Model
Year
Is your vehicle fitted with a “basic recovery kit” ?
(Consisting of snatch strap & 2 bow shackles)
I hereby make application to join Victoria Police Four Wheel Drive Club (VP 4WD Club). I understand that being accepted as a member of the VP 4WD Club, I am also a member of the Four Wheel Drive Victoria to which the VP 4WD Club is affiliated and all Victoria Police employees are also a member of the Victoria Police Amateur Sports & Welfare Society.
I acknowledge that four wheel driving is a motor sport activity conducted in a natural environment, which can pose inherent risks. Consequently, on becoming a member of the club, I accept responsibility for any injury I may sustain or damage my vehicle may sustain in such circumstances.
I acknowledge and waive any right of action against the VP 4WD Club, Victoria Amateur Sports & Welfare Society and Four Wheel Drive Victoria, their Executives and Members and absolve them from and liability in relation thereto.
I hereby make application to join Victoria Police Four Wheel Drive Club (VP 4WD Club). I understand that being accepted as a member of the VP 4WD Club, I am also a member of the Four Wheel Drive Victoria to which the VP 4WD Club is affiliated and all Victoria Police employees are also a member of the Victoria Police Amateur Sports & Welfare Society.
I acknowledge that four wheel driving is a motor sport activity conducted in a natural environment, which can pose inherent risks. Consequently, on becoming a member of the club, I accept responsibility for any injury I may sustain or damage my vehicle may sustain in such circumstances.
I acknowledge and waive any right of action against the VP 4WD Club, Victoria Amateur Sports & Welfare Society and Four Wheel Drive Victoria, their Executives and Members and absolve them from and liability in relation thereto.
I agree to be bound by the Club Rules, Statement of Purposes & By Laws of VP 4WD Club as well as those of the Victoria Amateur Sports & Welfare Society and Four Wheel Drive Victoria for the time being in force.
Applicant Name *
Date *
Name of club member supporting this application *
Once the details on this application have been completed and signed, please forward to :
[email protected]
Or post to :
Treasurer
Victoria Police Four wheel drive club inc.
81, linden street, altona meadows 3028
Receiver name/Title *
Name of club *
Club address *
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