Membership application request

Title TitleMrMrsMsDrOther

Full name

Address

Postcode

Home phone number

Mobile phone number

Emergency contact name

Emergency contact relationship

Emergency contact number

Date of birth (if under 18)

Name of parent or guardian (if under 18)

Do you have any Medical conditions? Do you have any Medical conditions? Please advise of medical conditions which you would like the club to be aware of? Yes No

Please provide details of your medical condition:

Please select which membership you are applying for. Note Junior membership is 30% on the full annual subscription. Student membership is 50% of the full annual subscription (proof of full time student status is required) Please select which membership you are applying for. Note Junior membership is 30% on the full annual subscription. Student membership is 50% of the full annual subscription (proof of full time student status is required) INDOOR BOWLS - 1 September £274 (no rink fees for social bowling. Please refer to bowls club website for additional fee information) OUTDOOR BOWLS Only - 1 April £80 (£40 for indoor members) RACKET SPORTS FULL - 1 April £250 (additional court fees payable for Padel) PADEL only - 1 April £130 (additional court fees payable) SOCIAL (includes Pétanque and table tennis) - 1 April £30

Racket members, my main activity would be (tick as appropriate) Racket members, my main activity would be (tick as appropriate) Tennis Squash/Racketball Padel

Please indicate your preferred method of payment (no monies are collected on website) Please indicate your preferred method of payment (no monies are collected on website) BACS Cheque Cash

How did you hear about Risbygate Sports Club Ltd? Social media, Google/search engine, news paper, word of mouth etc.

Email Address Please provide the mail address for this application and further communication

Please confirm that you have read and understood all the information on this form and you wish to start the membership process and agree to the important information, click this text to view the T&C's Please confirm that you have read and understood all the information on this form and you wish to start the membership process and agree to the important information, click this text to view the T&C's Yes I agree to the membership conditions