Social Membership Application Form

Bowls Membership Application Form
Membership type

Affiliated bowls membership - $155 per annumSenior bowls membership (Over 80) - $100 per annumJunior membership - $45 per annumStudent membership - $45 per annum
Name*

PrefixFirst NameMiddle NameLast Name
Gender*
Date of Birth*

DayMonthYear
Date
Mobile Phone Number*
Mobile number
Email*
example@example.com
Postal Address*

Street Address

Suburb

CityState

Post CodeCountry
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 NameLast Name
Seconded by*

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

YesNo
Please specify if you are a member of another Bowls Club
Name of other Bowls Club
Are you a coach or umpire?

YesNo
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*

YesNo
Should be Empty:

Bowls Membership Application Form