HomeMembership Registration

Membership Registration

Join Nigeria Association of Geelong Inc. – Membership is free! (Subject to Change)

Please enable JavaScript in your browser to complete this form.

Personal Details

First Name *

Last Name *

Age *

Address *

Parent/Guardian Name *

Parent/Guardian Email *

Parent/Guardian Phone *

(Please Email Other

Email *

Phone *

Gender *

Male
Female
Other

Other (Please Specify) *

Marital Status *

Single
Married
Divorced
Widowed
Separated

Spouse Full Name *

Spouse Phone *

Profession *

Engineer
Doctor
Nurse
Support Worker
Business Analyst
Entrepreneur
Student
None
Other

Other (Please Specify) *

Cultural Background *

Nigerian
Non-Nigerian

Non-Nigerian applicants will be added to the contact list but will not have voting rights or full membership

State of Origin *

Region of Origin *

Membership Type *

Individual Membership

Membership Type *

Associate Membership

Suitable for children under 15 years of age, who do not have voting rights

Are You Willing to Volunteer? *

If Yes, Which Area? *

Pako Setup and Pack Down
Financial Contribution
Event Decoration
Cooking
Serving Food
Other Capacity (As Required)

Acknowledgement of Terms

Declaration *

I hereby apply for membership with the Nigeria Association of Geelong Inc. I understand and agree to abide by the constitution, rules, and regulations of the association. I consent to the collection and storage of my personal information for the purposes of association activities only.

Acknowledgement *

By signing this form, you and/or all parties involved in the application acknowledge that you have read and understood the Terms and Conditions outlined in the Nigeria Association of Geelong Inc's constitution.

Signature *

Clear Signature

By clicking Submit, I confirm that I have read and agree to the Nigeria Association of Geelong Incorporated Terms of Service. I also consent to receive calls, text messages, or emails from Nigeria Association of Geelong Incorporated.

Shopping Basket