User account

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Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password *

Confirm password *

Provide a password for the new account in both fields.

New Member Registration

Welcome to the WAWMR Membership registration page!

Please fill out all the details (those with a red asterisk are required) and carefully read the Declarations at the bottom.

If you do not agree with the declarations, please do not request membership.

First Name *

Last Name *

Preferred Name

Is there another name we might know you by? Common nickname, online forum name, a personalised number plate?

Nickname

Street Address 1 *

Street Address 2

Suburb / Town *

State *

Post Code *

Phone Number *

Birth Date

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Email

Emergency Contact Relationship

Please enter the full name of an existing club member to finalise your membership. If you do not yet know anyone in WAWMR, please enter "Unknown" and we will help arrange for you to meet some of our members.

Vouched for by? *

What do you ride?

Available to Shadow?

To give us a general indication of appropriate sizes to allow for across our membership when we are investigating and ordering club merchandise.

Approx. T-shirt Size

How did you hear about WAWMR?

Declarations

You must indicate your acceptance of the following statements. If you do not agree with these declarations, please do not request membership with WAWMR.

(1) *

As a condition of my membership application, I declare that I am fully aware of and accept the risks associated in undertaking motorcycling activities.

(2) *

Photos may be taken at WAWMR events and rides and I understand and accept that these photos may be used to promote WAWMR.

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