Membership Application

Membership Required Membership Required $90 / Senior (Over 16 Years) $140 / Family (2 x Seniors + Kids Free + Additional Seniors $50) $30 / Social (In House Activities Only) Free / Junior (Under 16 Years) and Small Fry (Under 12 Years)

Full Name

Address

Email

Mobile Number

Postcode

Gender Gender Female Male

Full Name

DOB

Gender Gender Female Male

Full Name Adult 1

Address Adult 1

Email Adult 1

Mobile Number Adult 1

Postcode Adult 1

Gender Adult 1 Gender Adult 1 Female Male

Full Name Adult 2

Address Adult 2

Email Adult 2

Mobile Number Adult 2

Postcode Adult 2

Gender Adult 2 Gender Adult 2 Female Male

Additional Seniors? Additional Seniors? 1 2

Full Name Additional Senior 1

Address Additional Senior 1

Email Additional Senior 1

Mobile Number Additional Senior 1

Postcode Additional Senior 1

Gender Additional Senior 1 Gender Additional Senior 1 Female Male

Full Name Additional 2

Address Additional 2

Email Additional Senior 2

Mobile Number Additional Senior 2

Postcode Additional Senior 2

Gender Additional Senior 2 Gender Additional Senior 2 Female Male

How many kids? How many kids? 1 2 3 4

Full Name Child 1

DOB Child 1

Gender Child 1 Gender Child 1 Female Male

Full Name Child 2

DOB Child 2

Gender Child 2 Gender Child 2 Female Male

Full Name Child 3

DOB Child 3

Gender Child 3 Gender Child 3 Female Male

Full Name Child 4

DOB Child 4

Gender Child 4 Gender Child 4 Female Male

By typing your name here you advise that all members on this form will follow the clubs bylaws and constitution, you also advise that no members on this application have ever been refused membership or been banned by any NSWGFA affiliated club.