Social Membership Application Form

Bowls Membership Application Form
Membership type

Affiliated bowls membership - $115 per annum Senior bowls membership (Over 80) - $100 per annum Junior/Student bowls membership - $45 per annum
Name *

Prefix First Name Middle Name Last Name
Gender *
Date of Birth *

- Day - Month Year
Date
Mobile Phone Number *
Mobile number
Email *
example@example.com

Postal Address *

I hereby apply to become a bowls member of Clayton Bowls Club Inc and if accepted I agree to be bound by the Constitution and By-laws of Clayton Bowls Club Inc.
Proposed by *

First Name Last Name
Seconded by *

First Name Last Name
Are you a member of another Bowls Club? *

Yes No
Please specify if you are a member of another Bowls Club
Name of other Bowls Club
Are you a coach or umpire?

Yes No
Please specify
Name of club you coach or umpire for
Privacy Statement

We will not use any of the above information on this form without your specific permission in writing other than to record you as a member or to communicate with you.
I'm happy to receive information relating to electronic gaming machines *

Yes No
Should be Empty:

Bowls Membership Application Form