This form is for NEW MEMBERSHIP APPLICATION ONLY. If you have been approved as URG member in the past but your membership has lapsed or you are an existing member and wish to renew your membership, please use the Membership Renewal Form . Please choose the membership type you wish to join: Associate Membership (FREE to join)Associate Membership will receive URG monthly eNewsletter but you will not be eligible to dive with us. If you wish to dive with us please select Full Membership below. Full Membership If you are human, leave this field blank. First Name Last Name Email Address Country of Residence Are you a certified diver? Yes No What is your area of interest? (you can choose more than one) Research Recreational diving Interstate diving trip Overseas diving trip If you are human, leave this field blank. MEMBERSHIP TYPE Membership type Full Member (annual, 1st July to 30 June) - $90.00 Pro Rata Full Member (1st November to 30th June) - $10/month (new member only) 3 Month Trial Full Membership - $30 (new member only) APPLICANT DETAILS First Name Last Name Address (incl. suburb & postcode) Home Phone Business Phone Mobile Phone Email Do you know anyone who is currently an existing URG member? No Yes Can you please write down the name of the URG member? EMERGENCY CONTACT DETAIL In the unlikely event of a dive emergency, please nominate a person you would like us to contact Emergency Contact Name Address (incl. suburb & postcode) Home or Business Phone Mobile Phone Email DIVE EXPERIENCE Certification Level Certification Date Certification Number Total Number of Dives Date of Last Dive Max Dive Depth Please scan and upload a copy of your certification card Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 67.11MB Please keep the file size under 1Mb HOW DID YOU HEAR ABOUT URG? How did you hear about URG? Google or other search engine Recommended by a friend or relative URG stall at an exhibition or festival Other Please note: A valid "C" Card must be sighted by a URG Committee Member before diving with the URG. By-Law 403: Members shall ensure they are medically fit to take part in SCUBA diving activities. It is recommended they hold a current diving medical certificate. See Schedule "A" of the By-Laws and Standing Orders for current joining and membership costs. DECLARATION * I prefer that my name and address details were NOT publicized to other members By ticking this box I agree to abide by the Constitution, By-Laws and Standing Orders of The Underwater Research Group of NSW and I have read and acknowledge the URG safe diving practices statement. ADMIN NOTE Your membership application will need to be reviewed and approved by the URG Committee prior to commencement of your membership. This process will take up to 1 week. Once your membership is approved, you will receive an email confirmation, at that time you can arrange payment. In the meantime, please email us at firstname.lastname@example.org if you have any enquiry.