Membership enquiry form

Your Name (required)

Your Email (required)

Telephone Number (required)

Type of membership interested in? (required)

SeniorJuniorFamilyStudentOver 65Over 75

Child's name if applying for junior membership

Child's Date of Birth

Did you hear about the club from an existing member?

YesNo

If yes, please enter name of existing member

If no, how did you hear about the club?

Other comments