ADULT   $20        JUNIOR   $5.50  (Including GST)

SURNAME: ...........................................................................................................

CHRISTIAN NAME: .............................................................................................

ADDRESS: .............................................................................................................

.......................................................................................... POST CODE: …..…….

                  DATE OF BIRTH: ................................................................................

PRIVACY STATEMENT

Your privacy is respected by us. We will not disclose your personal information unless there is a threat to life, health or safety. The information you provide on this form will be used to send renewal notices, newsletters, information on Club activities, birthday cards and vouchers. You also have the right to access the personal information we hold about you. If you have any privacy concerns, would like to verify information we hold about you or would like more information about our Privacy Policy, please contact our Privacy Officer. If you do not provide the information requested on this form, we may not be able to register you as a member.

Applications for membership are advertised to the member on the Club noticeboard for 14 days prior to acceptance by the Management Committee.

* I hereby agree to abide by all rules and conditions are set down by the  Management Committee.

                           Signature .......................................................................

Application to be proposed and seconded by two current members of the Association.

Proposed: .....................................  Membership No: ............  Signature:..........................

Seconded:...................................... Membership No: ............. Signature: .........................