P.O.Box 3403, Moka, Maraval, Trinidad, West Indies, Phone (868) 629-0066, 2314, Fax: (868) 629-0411
Membership Application Form
NB:Completed application forms must be accompanied by the applicable entrance fee
for Adult Applicants and full payment for Junior Applicants.
Name of Applicant ........................................................................................Date of Birth........./............../..............
Local Address: ..............................................................................................................................................................
Phone (H) ..........................................Phone (C).............................................Phone (O)..................................................
E-mail Address ..........................................................................................................
Occupation..........................................................................Employer..............................................................................
Business Address ........................................................................................................................................................
Previous Clubs ( if any) ..............................................................................................Handicap........................................
In case of Emergency, contact ...............................................................................phone.................................................
Doctor's Name.......................................................................................................phone.................................................
Applying for: ( Please tick box(es) where applicable)
Full Playing
Non-Prime
Non-National
Men
Ladies
Junior*
Non-National Applicants Home Address:............................................................... ....................................................................................... ...................................................................................... |
Junior Applicants Parent/Guardian................................Phone......................... Parent/Guardian................................Phone......................... Existing Medical Condition(s)?............................................. ........................................................................................... |
..................................................................................... ......................................................................
signature of applicant date
I, THE UNDERSIGNED PROPOSER, BEING PERSONALLY ACQUAINTED WITH THE APPLICANT FOR
.................
(MONTHS / YEARS), TAKE PLEASURE IN SPONSORING THIS APPLICATION.
AS PROPOSER AND SECONDER OF THIS APPLICANT WE UNDERTAKE THE RESPONSIBILITY OF ENSURING THAT OUR CANDITATE IS AQUAINTED WITH THE RULES OF THE CLUB. BE RESPONSIBLE FOR INTRODUCING THE NEW MEMBER TO VARYING OFFICIALS OF THE CLUB….. PRESIDENT, VICE PRESIDENT, CAPTAIN AND GENERALLY TO THE MEMBERSHIP AS MUCH AS POSSIBLE. WE ARE ALSO PREPARED TO COMMUNICATE WITH OUR CANDIDATE ON BEHALF OF THE CLUB, WITH RESPECT TO ANY INFRINDGEMENT OF THE CLUB RULES.
Proposer (please print) ...................................................... ............................................................................
name signature
Seconder (please print) ...................................................... ............................................................................
name signature
*APPLICATIONS FOR JUNIOR MEMBERSHIP MUST BE PROPOSED AND SECONDED BY MEMBERS OF THE MANAGEMENT COMMITTEE