Staines Sailing Club
In the Borough of Runnymede
105 Cherstey Lane
Staines-Upon-Thames
Middlesex, TW18 3LQ
Tel 01784 455887
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:
Title:     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:
Class:    Sail Number:       Class:    Sail Number


DECLARATION
I wish to apply for:
Family Membership
Full Membership
Social Membership
Junior Membership
I agree to be bound by the Rules of the club. I DO NOT object to the club holding my membership details
on computer for the purposes of the Data Protection Act 1998.
Parents and Guardians are warned that the club is only available to provide rescue facilities during the
hours of club racing.
Outside these hours, parents and guardians have the sole responsibility for their children and wards and
must appreciate that the club cannot be expected to exercise supervision or control.
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: