WCB New Member Sign Up Form

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this form is for all new members of the band to complete

Full Name *

Address *

If You are Under 18 Years old you MUST provide your Parent/Guardians Name

Email address (if U18 this MUST be your parents/guardians email address) *

Phone number (if U18 this MUST be your parent/guardians number) *

I consent to my/my child's photo being used on the bands website/facebook. *

Yes

Membership Payment *

I paid in cash today when I joined

I Will transfer money to the bands bank account

Payment Details

Membership to the Wonthaggi Citizens' Band including the Wonthaggi Youth Brass is $50 per calendar year.
Payment can be made via direct bank transfer to
Wonthaggi Citizens band
BSB 633000
Acc 149447963
please use your name as the reference

When issued with an instrument I promise to be responsible for it's care and custody (if U18 through my parents/guardian) and return it to the band when required or when I cease to be a playing member *

I agree

Signed *

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