www.payments.crosscountryskiing.org.au Open in urlscan Pro
203.57.51.68  Public Scan

URL: https://www.payments.crosscountryskiing.org.au/
Submission: On March 10 via automatic, source certstream-suspicious — Scanned from AU

Form analysis 1 forms found in the DOM

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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_renewal" class="ant-form-item-required" title="Membership Type">Membership Type</label></div>
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                    class="ant-radio-input" type="radio" value="0"><span class="ant-radio-inner"></span></span><span>New Membership</span></label><label class="ant-radio-wrapper ant-radio-wrapper-in-form-item css-13cwvlg"><span
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_family" class="ant-form-item-required" title=" "> </label></div>
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            <div aria-required="true" class="ant-radio-group ant-radio-group-outline css-13cwvlg" id="basic_family"><label class="ant-radio-wrapper ant-radio-wrapper-in-form-item css-13cwvlg"><span class="ant-radio ant-wave-target"><input
                    class="ant-radio-input" type="radio" value="0"><span class="ant-radio-inner"></span></span><span>Individual</span></label><label class="ant-radio-wrapper ant-radio-wrapper-in-form-item css-13cwvlg"><span
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_firstname" class="ant-form-item-required" title="First Name">First Name</label></div>
      <div class="ant-col ant-col-16 ant-form-item-control css-13cwvlg">
        <div class="ant-form-item-control-input">
          <div class="ant-form-item-control-input-content"><input placeholder="Jack" id="basic_firstname" aria-required="true" class="ant-input css-13cwvlg ant-input-outlined" type="text" value=""></div>
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    </div>
  </div>
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_lastname" class="ant-form-item-required" title="Last Name">Last Name</label></div>
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          <div class="ant-form-item-control-input-content"><input placeholder="Smith" id="basic_lastname" aria-required="true" class="ant-input css-13cwvlg ant-input-outlined" type="text" value=""></div>
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  </div><b>Postal Address:</b>
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_street" class="ant-form-item-required" title="Street">Street</label></div>
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        <div class="ant-form-item-control-input">
          <div class="ant-form-item-control-input-content"><input placeholder="8 Patamba street" id="basic_street" aria-required="true" class="ant-input css-13cwvlg ant-input-outlined" type="text" value=""></div>
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  </div>
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_suburb" class="ant-form-item-required" title="Suburb">Suburb</label></div>
      <div class="ant-col ant-col-16 ant-form-item-control css-13cwvlg">
        <div class="ant-form-item-control-input">
          <div class="ant-form-item-control-input-content"><input placeholder="Jindabyne" id="basic_suburb" aria-required="true" class="ant-input css-13cwvlg ant-input-outlined" type="text" value=""></div>
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    <div class="ant-row ant-form-item-row css-13cwvlg">
      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_state" class="ant-form-item-required" title="State">State</label></div>
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          <div class="ant-form-item-control-input-content"><input placeholder="NSW" id="basic_state" aria-required="true" class="ant-input css-13cwvlg ant-input-outlined" type="text" value=""></div>
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_postcode" class="ant-form-item-required" title="Postcode">Postcode</label></div>
      <div class="ant-col ant-col-16 ant-form-item-control css-13cwvlg">
        <div class="ant-form-item-control-input">
          <div class="ant-form-item-control-input-content"><input placeholder="2428" id="basic_postcode" aria-required="true" class="ant-input css-13cwvlg ant-input-outlined" type="text" value=""></div>
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  <div class="ant-form-item css-13cwvlg">
    <div class="ant-row ant-form-item-row css-13cwvlg">
      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_residence" class="" title="Residential Suburb">Residential Suburb</label></div>
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        <div class="ant-form-item-control-input">
          <div class="ant-form-item-control-input-content"><input placeholder="Suburb (for car sharing)" id="basic_residence" class="ant-input css-13cwvlg ant-input-outlined" type="text" value=""></div>
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_mobilephone" class="ant-form-item-required" title="Mobile Phone">Mobile Phone</label></div>
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        <div class="ant-form-item-control-input">
          <div class="ant-form-item-control-input-content"><input placeholder="0419 123 456" id="basic_mobilephone" aria-required="true" class="ant-input css-13cwvlg ant-input-outlined" type="text" value=""></div>
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_otherphone" class="" title="Other Phone">Other Phone</label></div>
      <div class="ant-col ant-col-16 ant-form-item-control css-13cwvlg">
        <div class="ant-form-item-control-input">
          <div class="ant-form-item-control-input-content"><input placeholder="+61 2 1234 5678" id="basic_otherphone" class="ant-input css-13cwvlg ant-input-outlined" type="text" value=""></div>
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_email" class="ant-form-item-required" title="Email">Email</label></div>
      <div class="ant-col ant-col-16 ant-form-item-control css-13cwvlg">
        <div class="ant-form-item-control-input">
          <div class="ant-form-item-control-input-content"><input type="email" placeholder="jack.smith@nordix.org.au" id="basic_email" aria-required="true" class="ant-input css-13cwvlg ant-input-outlined" value=""></div>
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_kicknglide" class="ant-form-item-required" title="Kick and Glide Newsletter ">Kick and Glide Newsletter </label></div>
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                    class="ant-radio-input" type="radio" value="1"><span class="ant-radio-inner"></span></span><span>email please</span></label><label class="ant-radio-wrapper ant-radio-wrapper-in-form-item css-13cwvlg"><span
                  class="ant-radio ant-wave-target"><input class="ant-radio-input" type="radio" value="0"><span class="ant-radio-inner"></span></span><span>I'll get it from the website.</span></label></div>
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    </div>
  </div>
  <article class="ant-typography css-13cwvlg">The NSW Nordic Ski Club’s membership list is available to NSC members on the NSC website to help organise trips and car sharing. We recommend you tick the box below to be included in the list. Only your
    name, residential suburb and phone number(s) will be shared.</article>
  <div class="ant-form-item css-13cwvlg">
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_publish" class="ant-form-item-required" title="Contact Details">Contact Details</label></div>
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          <div class="ant-form-item-control-input-content">
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                    class="ant-radio-input" type="radio" value="1"><span class="ant-radio-inner"></span></span><span>share</span></label><label class="ant-radio-wrapper ant-radio-wrapper-in-form-item css-13cwvlg"><span
                  class="ant-radio ant-wave-target"><input class="ant-radio-input" type="radio" value="0"><span class="ant-radio-inner"></span></span><span>private</span></label></div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <article class="ant-typography css-13cwvlg"><b> Acknowledgement of Risk</b><br>In consideration for the New South Wales Nordic Ski Club Inc. (“NSC”) allowing me to attend and participate in NSC trips, I advise and confirm that: I understand and
    acknowledge: <br>• skiing is a potentially hazardous and dangerous activity, which may cause physical injury or death;<br>• those risks include but are not limited to hypothermia, dehydration, sunburn, muscle strain, fatigue from travelling long
    distances and/or carrying heavy loads for long periods over steep terrain, injury from colliding with rocks or trees or walking or skiing on slippery and/or uneven surfaces, being hit by rocks, snow and/or ice from above, falling from cliffs
    steep slopes, exposure to cold and/or bad weather including wind, rain, snow, blizzards and white-out, being delayed or disoriented by weather conditions, injury to or fatigue of others and/or equipment failure or failure to use equipment
    correctly;<br>• my participation in NSC activities constitutes my voluntary assumption of the risks inherent in cross-country skiing and the related activities of the NSC;<br>• I will endeavour to ensure that any NSC activity which I undertake is
    within my capabilities and that I will carry food, water and equipment appropriate for that NSC activity;<br>• I will be responsible for my own safety when participating in NSC activities; and<br>• I will notify the NSC trip coordinator of any
    medical or other conditions which may affect my participation in the NSC activity.<br>I release the NSC, its Committee, officers and trip coordinators from any liability arising out of any death, injury, damage, loss, claim, costs, demands, or
    expense which I may suffer directly or indirectly in connection with my participation in any NSC activity whether or not caused by the negligence of the NSC, its Committee, officers or trip coordinators.</article>
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      <div class="ant-col ant-col-8 ant-form-item-label css-13cwvlg"><label for="basic_waiver" class="" title="I agree">I agree</label></div>
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                  type="checkbox" value=""><span class="ant-checkbox-inner"></span></span></label></div>
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        <div class="ant-form-item-control-input">
          <div class="ant-form-item-control-input-content"><button type="submit" class="ant-btn css-13cwvlg ant-btn-primary"><span>Submit</span></button></div>
        </div>
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  </div>
</form>

Text Content

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Nordic Ski Club Membership Payments
Preview
Membership Type
New MembershipRenewal
IndividualFamily
First Name

Last Name

Postal Address:
Street

Suburb

State

Postcode

Residential Suburb

Mobile Phone

Other Phone

Email

Kick and Glide Newsletter
email pleaseI'll get it from the website.
The NSW Nordic Ski Club’s membership list is available to NSC members on the NSC
website to help organise trips and car sharing. We recommend you tick the box
below to be included in the list. Only your name, residential suburb and phone
number(s) will be shared.
Contact Details
shareprivate
Acknowledgement of Risk
In consideration for the New South Wales Nordic Ski Club Inc. (“NSC”) allowing
me to attend and participate in NSC trips, I advise and confirm that: I
understand and acknowledge:
• skiing is a potentially hazardous and dangerous activity, which may cause
physical injury or death;
• those risks include but are not limited to hypothermia, dehydration, sunburn,
muscle strain, fatigue from travelling long distances and/or carrying heavy
loads for long periods over steep terrain, injury from colliding with rocks or
trees or walking or skiing on slippery and/or uneven surfaces, being hit by
rocks, snow and/or ice from above, falling from cliffs steep slopes, exposure to
cold and/or bad weather including wind, rain, snow, blizzards and white-out,
being delayed or disoriented by weather conditions, injury to or fatigue of
others and/or equipment failure or failure to use equipment correctly;
• my participation in NSC activities constitutes my voluntary assumption of the
risks inherent in cross-country skiing and the related activities of the NSC;
• I will endeavour to ensure that any NSC activity which I undertake is within
my capabilities and that I will carry food, water and equipment appropriate for
that NSC activity;
• I will be responsible for my own safety when participating in NSC activities;
and
• I will notify the NSC trip coordinator of any medical or other conditions
which may affect my participation in the NSC activity.
I release the NSC, its Committee, officers and trip coordinators from any
liability arising out of any death, injury, damage, loss, claim, costs, demands,
or expense which I may suffer directly or indirectly in connection with my
participation in any NSC activity whether or not caused by the negligence of the
NSC, its Committee, officers or trip coordinators.
I agree

Submit