Become a Member | Surrey Hills Neighbourhood Centre

In order to complete your membership, please remember to pay your $20 membership fee. This can be done via our website: https://surreyhillsnc.org.au/shop/membership/

Surname*

First Name*

Title

Date of Birth*

Gender

Female
Male
Other
Prefer not to say

Child(s) Name

Child(s) DOB

Address*

Street Address Address Line 2 City State Postal Code Country

Mobile Phone

Other Phone

Email

Country of Birth

English as first language?

Yes
No

If no, what is your first language?

Are you of Aboriginal and/or Torres Strait Island origin?

Yes
No

Emergency Contact Details: In the event of an unforeseen emergency please advise who you would like us to contact

Emergency Contact Name*

Relationship

Emergency Phone*

How did you hear about us?

Other

Privacy We respect your right to Privacy.

Please advise any update to your details to the office. Your contact details and your advised emergency contact information will be given to your tutor for the duration of your course.

If tutors need to cancel a class at short notice due to unforeseen circumstances they will use the contact you have provided to advise you. When courses are completed contact details and attendance sheets will be returned to the office.

Access and Equity

If you have any specific medical condition that we should be aware of or you require any particular assistance or arrangements, please advise us on Ph 9890 2467, by email or by an accompanying note.

Payment and Enrolment Conditions

Please select your courses carefully. Reminders will only be issued if there is a change in dates.
Payment is taken as confirmation of your enrolment.
Withdrawal 7 days or less before the class starting date will incur a $20 cancellation fee.
There are NO refunds or discounts for missed classes or withdrawals once a course starts unless a medical certificate is provided stating your incapacity to continue with the course or if the course is cancelled by SHNC.
Membership is open to and payable annually by all adults attending courses or groups at SHNC. SHNC membership is $20 once a calendar year.
The SHNC is an inclusive, supportive and welcoming place where everyone has the right to be respected and appreciated.
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Membership fee

Don't forget to return to your basket to complete your purchase of the $20 annual calendar year membership fee.

I accept the above conditions:*

Yes

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