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.)

Section

Please select the Section that you would like to join?

Non - Rowing Rowing - Juniors Rowing - Seniors Rowing Masters

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 2019-20 Season 2019/20 Mid Season - 2nd Quarter 2019/20 Mid Season - 3rd Quarter 2019/20 Mid Season - 4th Quarter

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost
	J13 Development Squad Junior - Under 18 years Only available to new applicants between the ages of 10 and 17 inclusive.	£10.00
	JUNIOR - J13 Development Squad Junior - Under 18 years Only available to new applicants between the ages of 10 and 17 inclusive.	£120.00
	Full Full membership Only available to people between the ages of 16 and 64 inclusive.	£360.00
	Student Over 18 in Full Time Education Only available to people between the ages of 18 and 64 inclusive.	£218.00
	Junior Under 18 years Only available to people between the ages of 10 and 17 inclusive.	£218.00
	G-Club Members Over 65 Only available to people between the ages of 65 and 99 inclusive.	£193.00
	Country Members living 50+ miles from the club	£218.00
	Cox Coxswains only	£58.00
	Introductory Learn to Row Programme - 2 Years Maximum Only available to people between the ages of 16 and 64 inclusive.	£244.00
	L2R Learn to Row Only available to new applicants.	£0.00
	Social Member Non- Rowing Member	£51.00
	Family 1+1 Family Group of One Adult and One Child (Junior or Student)	£491.00
	Family 1+2 Family Group of One Adult and Two Children (Junior or Student)	£655.00
	Family 1+3 Family Group of One Adult and Three Children (Junior or Student)	£797.00
	Family 2+0 Family Group of Two Adults	£611.00
	Family 2+1 Family Group of Two Adults and One Child (Junior or Student)	£797.00
	Family 2+2 Family Group of Two Adults and Two Children (Junior or Student)	£1,002.00
	Family 2+3 Family Group of Two Adults and Three Children (Junior or Student)	£1,102.00

Racking Racking

Category	Requirements	Cost
x1 Single Racking Racking for Single	Country Full G-Club Junior Life Member Student Vice President	£150.00
Double / Pair - Decommissioned Storage Double or Pair - Decommissioned and Stored at Club.	Country Full G-Club Junior Life Member Student Vice President	£75.00
Single - Decommissioned Storage Single - Decommissioned and Stored at Club.	Country Full G-Club Junior Life Member Student Vice President	£50.00
x2 Double Racking	Country Full G-Club Junior Life Member Student Vice President	£200.00

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

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the club officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

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