EMBER
SPORTS CLUB
21A, THE DRIVE
MEMBERSHIP APPLICATION FOR THE YEAR TO
I
hereby apply to join EMBER SPORTS CLUB and, if approved, agree to abide by the
Rules of the Club and by the Rules of any Section of the Club to which I am
elected.
Mr/Mrs/Miss/Ms.
.
D.o.B if under 18
(first name /
surname)
Address
..
.
.
Postcode
..
Home
phone
Mobile phone (optional)
E-mail
address (for internal club use only)
.
.....
...
.
...
Signed
..
..
..
.
Date
Signed
by Parent if applicant under 18
Date
|
SECTION |
CATEGORY |
TICK |
AMOUNT
DUE (see
rates overleaf) |
|
|
BOWLS |
ANNUAL |
|
£ |
|
|
CROQUET |
ANNUAL |
|
£ |
|
|
DRAMA |
ANNUAL |
|
£ |
|
|
TENNIS |
STANDARD
|
|
£ |
|
|
|
FAMILY
ANNUAL ** |
|
£ |
|
|
|
MIDWEEK
ANNUAL |
|
£ |
|
|
|
STUDENT
ANNUAL |
|
£ |
|
|
|
JUNIOR
(UNDER 18) |
|
£ |
|
|
|
WINTER
STANDARD |
|
£ |
|
|
|
WINTER
MIDWEEK |
|
£ |
|
|
SOCIAL
ONLY |
ANNUAL |
|
£ |
|
(**) See also
supplementary form
TOTAL
AMOUNT
£ | |||
Proposer
|
|
If you do not already know anyone in the club who can propose and second your application, please leave blank | |
Seconder
|
| ||
Approved
by Section Ctee |
|
Date | |
PLEASE SEND COMPLETED FORM AND CHEQUE
PAYABLE TO EMBER SPORTS CLUB
TO THE
APPROPRIATE SECTION SECRETARY
IF YOU HAVE ANY QUERIES, CONTACT MALCOLM
BAIRD ON 020 8398 4622