Membership Application

Email

This field is for validation purposes and should be left unchanged.

NEW MEMBERSHIP APPLICATION FORM

I/we, the undersigned would like to become a member of the Kytherian Association of Australia. If accepted, I/we agree to be bound by the Constitution of the Kytherian Association of Australia and any Rules, Regulation or By-Laws of the Kytherian Association from time to time that are enforced. All applicants must be 18 years of age or older.

Full Members of the Association must be (a)born or descended from persons born on Kythera, or (b)married to, widowed from, adopted by, or in a defacto relationship with any person born or descended from persons born on Kythera. Full members registered as Families are entitled to two (2) votes and Full members registered as Single are entitled to one (1) vote. Those who do not qualify for Full Membership qualify as Associate Members, which means they do not have any voting privileges, but are entitled to the other benefits of Full Members.

Members can find copies of the Constitution and other relevant documents for people who choose to volunteer such as the Volunteers Agreement and Conflicts of Interest Policy on our website https://www.kytherianassociation.com.au.

Please select which membership type you would like to add to your application

Which village in Kythera was the member born in?

For Full Membership

If applicant was not born on the island of Kythera, please complete the following:

Kytherian Born Person 1:(Required)

Kytherian Town Born:(Required)

Relationship to Member 1 or Member 2:(Required)

Kytherian Born Person 2:

Kytherian Town Born:

Relationship to Member 1 or Member 2:

Kytherian Born Person 3:

Kytherian Town Born:

Relationship to Member 1 or Member 2:

Membership Details

Family Membership

Memberships for families starting from $60. Please select your option below to see total price.

Price:

Single Membership

Memberships for singles starting from $35. Please select your option below to see total price.

Price:

Your Membership Total

Member 1 - Contact Details

Title

First Name(Required)

Middle Name

Surname(Required)

Occupation

Date of Birth(Required)

Email(Required)

Mobile

Place of Birth

Member 2 - Contact Details

Please move to next section if only adding 1 member.

Title

First Name

Middle Name

Surname

Occupation

Date of Birth

Email

Mobile

Place of Birth

Children's Details

Children over 18 years require their own membership if they wish to be a member of the KAA

Name of Child 1

Child 1 Date of Birth

Name of Child 2

Child 2 Date of Birth

Name of Child 3

Child 3 Date of Birth

Name of Child 4

Child 4 Date of Birth

Proposed By

Must be acknowledged by (2) current Full Members who have been Full Members for the preceding twenty-four (24) months. If unable to complete, leave blank.

Proposed by Member 1: First and Last Name

Proposed by Member 2: First and Last Name

Interests

Donation to KythCare

KythCare Donation

Price:

KythCare Donation Option

Select amount from the drop down menu below

Confirmation

Full Name(Required)

Today's Date(Required)

Your Membership Payment Total

Please note you will be required to fill out card details below and complete payment before your application is submitted.

Credit Card