Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Work/Other Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Occupation

(Please indicate if you would be willing to help the club should it need your expertise.)

Membership Start

When would you like your membership to start?

2018-19 Season Mid Season 2nd Quarter Mid Season 3rd quarter Mid Season 4th Quarter

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost
	Full Full membership Only available to people between the ages of 16 and 64 inclusive.	£336.00
	Student Over 18 in Full Time Education Only available to people between the ages of 18 and 64 inclusive.	£204.00
	Junior Under 18 years Only available to people between the ages of 10 and 17 inclusive.	£204.00
	G-Club Members Over 65 Only available to people between the ages of 65 and 99 inclusive.	£180.00
	Country Members living 50+ miles from the club Available to all.	£204.00
	Cox Coxswains only Available to all.	£54.00
	Recreational Use of Recreational Boats only Available to all.	£228.00
	Social Member Non- Rowing Member Available to all.	£48.00
	Family 1+1 Family Group of One Adult and One Child (Junior or Student) Available to all.	£468.00
	Family 1+2 Family Group of One Adult and Two Children (Junior or Student) Available to all.	£612.00
	Family 1+3 Family Group of One Adult and Three Children (Junior or Student) Available to all.	£744.00
	Family 2+0 Family Group of Two Adults Only available to people between the ages of 19 and 64 inclusive.	£582.00
	Family 2+1 Family Group of Two Adults and One Child (Junior or Student) Available to all.	£756.00
	Family 2+2 Family Group of Two Adults and Two Children (Junior or Student) Available to all.	£888.00
	Family 2+3 Family Group of Two Adults and Three Children (Junior or Student) Available to all.	£996.00

Racking Racking

	Category	Requirements	Cost
	x1 Single Racking Racking for Single Available to all.	Country Full G-Club Junior Life Member Student Vice President	£120.00
	x2 Double Racking Available to all.	Country Full G-Club Junior Life Member Student Vice President	£150.00

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://sbc.myclubhouse.co.uk/Home/TermsAndConditions) and the Privacy Policy (https://sbc.myclubhouse.co.uk/PrivacyPolicy;).

Signature

Date

Please return completed forms to: Stourport Boat Club - MEMBERSHIP, Stourport Boat Club The Boathouse, Riverside Dunley Road Stourport-on-Severn Worcestershire DY13 0AA

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