Epsom Fencing Club

Print   Close Window

Membership Application & Renewal Form

Title

:

………………………………………………………………………………

Forename

:

………………………………………………………………………………

Surname

:

………………………………………………………………………………

Address

:

………………………………………………………………………………

 

………………………………………………………………………………

Post Code

:

………………………………………………………………………………

Phone (day time)

:

………………………………………………………………………………

Phone (evening)

:

………………………………………………………………………………

E-mail

:

………………………………………………………………………………

Date of Birth
(if under 18)

:

………………………………………………………………………………

BFA Membership

Members are recommended to join the British Fencing Association. Benefits include insurance cover for accidents while fencing and third party liability; cover is limited for ages over 70 and under 16.

BFA Member

:

yes / no

BFA Membership No.

:

………………………………………………………………………………

Expiry Date

:

………………………………………………………………………………

 

 

 

Payment

Check on our club web site or with our treasurer for current membership fees.

Duration

:

annual / term

Type

:

adult / junior

I enclose a payment of £ ………………………
Cheques payable to Epsom Fencing Club - credit or debit card payments are not possible.

Terms & Conditions

  1. Neither Epsom Fencing Club, its coaches, instructors nor members shall, in any circumstances whatsoever, be under any liability to the applicant for any loss, damage or injury (including death), whether accidental or otherwise, arising during, or resulting from participation in fencing activities within the Epsom Fencing Club premises or on the Club's behalf.
  2. Payment of any subscription or course enrolment fee to Epsom Fencing Club shall constitute an acceptance of all articles of its Constitution, a copy of which is obtainable from the Secretary.

Data Protection

Personal details of all members are not disclosed to any third party.

Declaration / Consent

I have read and understood the above information and agree to abide by the Constitution and rules of Epsom Fencing Club.

 

Signature ……………………………………. Date …………………..

Signature of Parent or Guardian

For members under 18 years old : I hereby consent to my child becoming a member of Epsom Fencing Club and agree that he/she is bound by the Constitution and Rules of the Club.

 

Signature ……………………………………. Date …………………..

Back to Top   Print   Close Window