Online Application

Thank you for taking the first steps to joining out club, we are a family here and as so we create a very friendly environment.

Name*
First Last
Are you known by other name?*
- Yes
- No
If yes, please indicate*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Date of Birth*
MM slash DD slash YYYY
Other Club Membership
Has your membership ever been declined, suspended or revoked from any club?*
- Yes
- No
If YES name of club and details:*
Privacy Act 1993
1. The above named Club is collecting and will hold, the information on this form. the Club is collecting the information.
1 a. so it and its members can assess the applicants suitability for membership (including transfers of membership):
1 b. so it can administer its operation and assist other Clubs that are members on Clubs NZ to admininister theirs..
3 c. to enable Clubs NZ or its agents to complie a list of members of all clubs in New Zealand and to send those members promotional, marketing and other material
2. a copy of this information and photograph of the applicant will be displayed on the Club Noticeboard for 14 days.
3. The applicant acknowledges by signing this form that he or she has authorized the Club to obtain, check,exchange informatiion with, and supply information to members of the Cluib, Clubs NZ and other Clubs that are members of Clubs NZ.
4. The applicant is entitled, under the Privacy Act 1993 to have access to, and request correction of personal information held by the Club by the applicant
Consent*
I agree to the privacy policy.
1. The above named Club is collecting and will hold, the information on this form. the Club is collecting the information.
1 a. so it and its members can assess the applicants suitability for membership (including transfers of membership):
1 b. so it can administer its operation and assist other Clubs that are members on Clubs NZ to admininister theirs..
3 c. to enable Clubs NZ or its agents to complie a list of members of all clubs in New Zealand and to send those members promotional, marketing and other material
2. a copy of this information and photograph of the applicant will be displayed on the Club Noticeboard for 14 days.
3. The applicant acknowledges by signing this form that he or she has authorized the Club to obtain, check,exchange informatiion with, and supply information to members of the Cluib, Clubs NZ and other Clubs that are members of Clubs NZ.
4 The applicant is entitled, under the Privacy Act 1993 to have access to, and request correction of personal information held by the Club by the applicant
Declaration*
I hereby agree to abide by the rules of the Club and certify that the above information is correct. I acknowledge that if i have given false information it will result in automatic cancellation of membership.
I have read the above statement and agree that all is correct and proper with me filling out the above form. *
Date of Application*
MM slash DD slash YYYY

Monday / Tuesday: 2pm - 10pm
Wednesday: 12noon - 11pm
Saturday / Sunday: 11am -2am
Thursday /Friday: 12noon - 12am

Online application

Other Club Membership

Privacy Act 1993