U3A SHOALHAVEN ENROLMENT TERM-2 2026 (T226)

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PERSONAL DETAILS SECTION

(fields with "*" are mandatory)

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*Full Name

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*Birth date (dd/mm/yy)

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Member Number (if known or try searching here)

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*Street Address

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*Suburb BadagarangBack ForestBamarangBangaleeBarrengarryBarren GroundsBarringellaBasin ViewBawley PointBeaumontBeecroft PeninsulaBellawongarahBendalongBerraraBerringer LakeBerryBerry MountainBewongBolongBomaderryBoolijahBream BeachBrogers CreekBroomanBroughtonBroughton ValeBroughton VillageBrowns MountainBrundeeBuanglaBudawangBudderooBudgongBuleeBundewallahBurrierBurrill LakeCallala BayCallala BeachCambewarraCambewarra VillageCockwhyCombertonComerong IslandConjolaConjola ParkCoolangattaCoolumburraCroobyarCudmirrahCulburra BeachCunjurong PointCurrarongCurrowanDepot BeachDolphin PointDurras NorthEast LynneEndrickErowal BayEttremaFalls CreekFar MeadowFishermans ParadiseGreenwell PointHuskissonHyams BeachIllarooJaspers BrushJerrawangalaKangaroo ValleyKinghorneKings PointKioloaLake ConjolaLake TabourieLittle ForestLongreachManyanaMayfieldMeroo MeadowMiltonMogoodMollymookMollymook BeachMondayongMoollattooMortonMount KingimanMundamiaMyolaNarrawalleeNorth NowraNowraNowra HillNumbaaOld Erowal BayOrient PointParmaPebbly BeachPointer MountainPorters CreekPretty BeachPyreeQuieraRed RocksSanctuary PointSassafrasShoalhaven HeadsSouth NowraSt GeorgeSt Georges BasinSussex InletSwanhavenTallowalTapitalleeTeraraTermeilTianjaraTolwongTomerongTougaTullarwallaTwelve Mile PegUlladullaUpper Kangaroo RiverVincentiaWandandianWatersleighWattamollaWest NowraWollumboolaWoodburnWoodhillWoodstockWoollamiaWorrigeeWorrowing HeightsWrights BeachYadboroYalwalYatte YattahYerriyong

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*Post Code

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*Gender MaleFemaleNon BinaryRather Not Say

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*Phone

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*Email

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Emergency Contact Name

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Emergency Contact Phone

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COURSE SELECTION SECTION

*Courses (tick the checkbox next to course name to select; click on course name to view all details about the course)Note: courses with names in red are single-day courses, contact the office to confirm availability of those
Aqua Aerobics (Aqua Instructor/Anyday/$16)Art For Pleasure Nowra (Robyn Jarvis/Tuesday/$44)Basic Technology (Eric Courtney/Wednesday/$16)Become A Presenter (Glenis Brooking/Thursday/$NIL)Bird Diversity (Dr Ken Chan/Wednesday/$28)Coffee Club Thu (Glenis Brooking/Thursday/$20)Coffee Club Tuesday (Glenis Brooking/Tuesday/$20)Croquet Bomaderry (Doug Cornish/Friday/SEE)Croquet West Street Nowra (Peter Cumes/Wednesday/$16)Currarong Art Trail (Glenis Brooking/Saturday/$16)Find Your Feet - Balance And Stretch (Robin Sharpe/Saturday/$16)Flying Foxes (Janine Davies/Thursday/$18)Français Le Vendredi (Laura Vignolo/Friday/$40)French Elementary To Intermediate Cefr A2-B1 (Anne Wenham/Thursday/$44)French Upper Intermediate Cefr B2 (Anne Wenham/Thursday/$44)German Advanced (Anna Holt/Tuesday/$40)German Introduction (Maureen Chapman/Monday/$40)History At Berry (Lloyd Pitcher/Friday/$16)History Nowra (Lloyd Pitcher/Friday/$28)Italian Introduction (Richard Montgomery/Thursday/$44)Italiano Avanzato (Jan Martin/Monday/$44)Lawn Bowls (Charlie Francis/Wednesday/$16)Let’S Do Lunch (Carolyn Murray, Patricia Cornish/Thursday/$18)Meditation - Sound Healing (Jan Lewis/Wednesday/$16)Microsoft 365 Business Licence (Raul Arregui/Special Offer/$69)Modern Science Topics (Iain Townsend/Wednesday/$28)Mosaics (Ranee Hanlen/Monday/$50)Movie Club (Allan Sherringham/Thursday/$24)Nowra Museum (Glenis Brooking/Tuesday/$16)Philosophical Discussions (Rob Renew & Bob Hayward/Wednesday/$28)Portraits With Laughter (Glenn Kilby/Thursday/$16)Scrabble (Lexie Neale/Monday/$16)Spanish Beginner (Laura Vignolo/Monday/$44)Spanish Intermediate (Humberto Ardiles/Tuesday/$44)Taboo Topics (Alan Madge/Wednesday/$32)Taichi/Qigong For Health (Lyn Charlewood/Anyday/$16)Tech Support 1 (Helen Hasan/Friday/$16)Tech Support 2 (Helen Hasan/Friday/$16)Tenpin Bowling (Pamela Sheehan/Monday/$16)Time To Write (Pamela Arnold/Tuesday/$44)Tuesday Forum Zoom (Various/Tuesday/$25)Tutankhamun Treasures Nowra (Patrick DeGabriele/Monday/$16)Tutankhamun Treasures Shoalhaven Heads (Patrick DeGabriele/Tuesday/$16)

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PAYMENT DETAILS SECTION

Total enrolment fee amount to be paid for the selected courses $

$

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After submitting this enrolment form, you must also submit your payment via:

• Visit our office at 5/48 Berry St Nowra (opposite the Roxy Cinema) to pay with credit card in person at the office
• Send us a personal or bank cheque for full amount of the course fees you have selected, payable to "U3A SHOALHAVEN" and post it to 5/48 Berry St Nowra NSW 2541 or drop it to our office as noted below (drop sealed form and payment, into letterbox 5 at front door of our building, if office closed)

Early enrolment is strongly advised, as courses are cancelled if numbers are insufficient.

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*What will be your payment method?Cash payment (at the office)Credit Card payment (at the office)Personal or Bank Cheque (at the office)Personal or Bank Cheque (by post)

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OPTIONAL INFORMATION SECTION

If new member, how did you find out about U3A?

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What classes would you like to see?

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What classes can you run yourself?

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Can you staff our office for 4 hours once or twice during term?

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TERMS & CONDITIONS ACCEPTANCE SECTION

IMPORTANT:
Before submitting this form, you must accept to the following conditions:

1. I confirm all data I have provided in this form is correct
2. I have read the U3A Shoalhaven Code of Conduct, and I accept it in full
3. I will submit payment for the full amount of the course fees I have selected

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*I accept the three (3) conditions above

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