WEB APPLICATION

VENTNOR ANGLING & SOCIAL CLUB

Send to

Secretary:

Christine Basham

29 Newcomen Road, Sandown, Isle of Wight PO36 8NZ

APPLICATION FOR MEMBERSHIP – JUNIOR SECTION

To be completed and signed by the applicants Parent/Guardian (please print clearly)

I ___________________________________________agree that my son/daughter

(Full Name) __________________________________________________________

Address______________________________________________________________

Postcode: _______________ Tel No: _________________Mobile:_______________

Email: _________________________Date of Birth: __________________________

Shall become a member of Ventnor Angling & Social Club subject to acceptance by the Committee and in accordance with the appended rules

1. The Parent/Guardian shall accept responsibility for any damage caused by the applicant to any property to which the club has access to during the course of its activities.
2. Junior members must be accompanied by a Parent/Guardian or adult club member and that adult shall accept full responsibility for the actions of the above named junior during the course of their activities.
3. The applicant shall adhere to Ventnor Angling & Social Club rules.

Signature of Applicant__________________________________________________

Signature of Parent/Guardian_____________________________________________

Address (If different from above) _________________________________________

_____________________________________________________________________

______________________________Postcode: _________Tel No: ______________

Approved:

Chairman________________Secretary_________________Date_________________

Subs paid: £2 YES/NO

Date________________________________________________