Lrg Forms


Lrg Forms
Welcome to the Forms page.
On this page you will find the Membership Application form, the Lease Expenditure Form and the Visit Site Notification Form. Please read the instructions relating to each of the forms, then click their respective link, which will redirect you to the required form.

Membership Application Form
To apply to become a member of Little Ripper Gold Inc, please use the link below to complete and submit a Membership Application and Indemnity Waiver Form.
By completing a Membership Application and Indemnity Waiver form, you acknowledge that you have read and understood the terms and conditions of the Code of Conduct, Constitution, Indemnity Waiver, Social Media Policy and the Advertising Policy, which can all be found on this website.

Little Ripper Gold offers the following Member options:
(a) An Ordinary Member ($100/yr):
(i) Is any person over the age of 15.
(ii) An Ordinary Member must hold a WA Miner's Right.
(iii) An Ordinary Member can detect or prospect on any LRG Lease.
(iv) An Ordinary Member agrees to abide by LRG’s Constitution, Code of Conduct and Indemnity Waiver.
(v) An Ordinary Member has access to LRG’s Facebook page.

(b) An Associate Member ($50/yr):
(i) Is any person over the age of 15.
(ii) An Associate Member must be accompanied by a financial Ordinary Member, while attending any of LRG’s leases.
(iii) An Associate Member cannot detect or prospect on any LRG lease.
(iv) An Associate Member agrees to abide by LRG’s Constitution, Code of Conduct and Indemnity Waiver.
(v) An Associate Member does not have access to LRG’s Facebook page.

(c) A Junior Member ($50/yr):
(i) Is any person up to the age of 15.
(ii) A Junior Member must be accompanied by a financial Ordinary Member, while attending any of LRG’s leases.
(iii) A Junior Member must hold a WA Miner’s Right.
(iv) A Junior Member can detect or prospect on any LRG lease.
(v) A Junior Member agrees to abide by LRG’s Constitution, Code of Conduct and Indemnity Waiver.
(vi) A Junior Member does not have access to LRG’s Facebook page.

(d) A Child Member ($25/yr):
(i) Is any person up to the age of 15.
(ii) A Child Member must be accompanied by a financial Ordinary Member, while attending any of LRG’s leases.
(iii) A Child Member cannot detect or prospect on any LRG lease.
(iv) A Child Member agrees to abide by LRG’s Constitution, Code of Conduct and Indemnity Waiver.
(v) A Child Member does not have access to LRG’s Facebook page.

An individual who has not reached the age of 15 years, is only eligible to be a Child Member or a Junior Member.

Please allow 5 working days for processing of your membership application.

Membership Application and Indemnity Waiver Form

Lease Expenditure Form
All members who visit an LRG lease, regardless of whether you find any gold, must complete an Expenditure Form. These are required by the Department of Mines, Industry Regulation and Safety (DMIRS) because the leaseholder must submit annual expenditure reports, to be compliant with all aspects of managing a lease.
Click the link below to complete and submit a Lease Expenditure Form.

Note: If you're unsure about how to fill in the form, see the Example Expenditure Form in the Files section of the LRG Facebook page.

Expenditure Form

Visiting Site Notification Form
All members who are visiting an LRG Lease, are required to complete a Visit Site Notification Form. Click on the link below, enter your required details, and submit the form to the committee.
If family members from the same family or several unrelated members are travelling together in the one vehicle, all their details can be entered on 1 form.
However, if several members are travelling in their own vehicles, then each member is required to complete a separate form.

Note: If you need any assistance to complete the form, please ask any questions on the LRG Facebook page.

Visit Site Notification Form