Devon & Exeter SRC
Membership Application Form
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Email *
Surname *
Forename(s) *
Address *
Telephone Number *
Date of Birth *
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What type of Membership do you require? *
How would you like to pay your membership? *
Which date would you like your membership to start. Leave blank to start immediately.
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Emergency Contact Name
Emergency Contact Number
Would you like to be included in the Club WhatsApp group? Replies are sent to Club admin only, so you wont keep pinging!
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Application Statement: I wish to apply for membership of the Devon & Exeter SRC. If my membership application is successful I agree to abide by the rules and by-laws of the Club. I understand that the entrance fee and ongoing subscriptions must be paid for by Direct Debit. Junior applicants must have consent from a parent or guardian. *
Parent or Guardian Name (For Junior Applicants Only)
I give consent for the child named in the application form above to join the Devon & Exeter SRC. (For Junior Applicants Only)
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