Staines Sailing Club
In the Borough of Runnymede
105 Cherstey Lane
Staines-Upon-Thames
Middlesex, TW18 3LQ

www.stainessc.org.uk
email: Info@stainessc.org.uk

MEMBERSHIP APPLICATION FORM

Please complete all applicable boxes (a boat is not mandatory!) and then press send at the end of the form.
This will email the details to the club (you can read it before you send it!) and we will get back to you.

PERSONAL DETAILS:
Forenames:

Family Name:

Occupation:

Children (Under 18):
Forename:

Date of Birth:

Forename:

Date of Birth:

Forename:

Date of Birth:

Address:
Line 1:

Line 2:

Line 3:

Line 4:

Postcode:

Contact Details:
Telephone:

Email:

Boat Details (If any):
Class:                  Sail Number:



DECLARATION I wish to apply for

Family
Full
Junior (Under 18)

Membership of STAINES SAILING CLUB.

I agree to be bound by the Rules of the club.

I agree to the club holding my personal membership data, including listing of my name and phone number in the Club programme. This data will not be shared with any person or company who is not a member of the club without your written permission and consent. I also consent to the Club taking and using my photograph in newsletters and on the club website, to promote the club.

Parents & guardians are solely responsible for their children & wards.
Parents and guardians are warned that the club is only able to provide support facilities during the hours of club racing.
(Even during club racing, the club cannot accept responsibility for children or other persons, not engaged in racing.)

I have read, understood and accept the conditions above:
Yes
No

Name of Person Completing this form
(PARENTS OR GUARDIANS SIGNATURE (if under 18) *

Signatory:

Date: