Online Membership Form

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MAKE A BOOKING

Personal Information

Given names*

Last name*

Date of birth*

Day

Month

Year

Address*

Suburb/town*

Postcode*

Phone*

Email*

Gender*

Male

Female

Other

Occupation*

Emergency Contact

Name*

Phone*

Application for Membership

Category*

Full Member - $220

1st Year Member - $100

Full Time Student - $100

Junior Member - $25

Non-Playing (Social) Member - $25

Previous club/s

Qualifications

WWC check

First Aid

Coach

Food Handling

Umpire

RSA

Have you been suspended by a bowling club or association?*

Yes

No

Details of suspension/s (if required)

Are there any areas around the club where you might be of assistance?

Cleaning

Fundraising

Grounds

Social Events

Maintenance

Other

Please specify

How did you find out about the club?*

Declaration

I declare that all information provided above is true and correct, and I agree to abide by the rules of the club

Signature

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Date*

I read and accept the club's privacy policy - this can be found at www.lilydalebowlingclub.com.au/privacy

Privacy Policy

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