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AquaForce Membership Form Mar 2013
AquaForce Membership Form Mar 2013
AquaForce Membership Form Mar 2013
MEMBERSHIP DETAILS Person 1 Registration Type: New member Renewing member Ive never been with a swimming club Transfer from another club SNSW membership No.:____________________ Swimmer Non-Swimmer
Membership type: (Select one): Personal Details: Surname: Medical Conditions: Address: Mailing Address (if different):
Given Names:
Date of Birth:______________
Telephone (H): _____________________ (W) :_______________________ (Mobile):____________________ Email Address(es): __________________________________________________________________________________________ Person 2 Registration Type: New member Renewing member Ive never been with a swimming club Transfer from another club SNSW membership No.:____________________ Swimmer Non-Swimmer
Membership type: (Select one): Personal Details: Surname: Medical Conditions: Address: Mailing Address (if different):
Given Names:
Date of Birth:______________
Telephone (H): _____________________ (W) :_______________________ (Mobile):____________________ Email Address(es): __________________________________________________________________________________________ Person 3 Registration Type: New member Renewing member Ive never been with a swimming club Transfer from another club SNSW membership No.:____________________ Swimmer Non-Swimmer
Membership type: (Select one): Personal Details: Surname: Medical Conditions: Address: Mailing Address (if different):
Given Names:
Date of Birth:______________
Parents/guardians (applicable if member is under 18 years) & Non Swimming Members* Mother/Guardians Surname: Given Names: Occupation (Optional): Non-Swimmer membership Are you a committee Member (Circle): Telephone (H): (W): (Mob): Email: Alternate Emergency Contact Name:________________________________Telephone:_____________________
*Every family must register one Non-Competitive member who is over the age of 18years in order to be covered by Swimming NSWs insurance policy, be protected by the Rules of AquaForce Swimming Club and have voting rights at those meetings where such voting is entitled by the constitution.
Father/Guardians Surname: Given Names: Occupation (Optional): Non-Swimmer membership Yes / No Are you a committee Member (Circle): Telephone (H): (W): (Mob): Email: Yes / No
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