CWWSC Membership Application Form 1 April 2014 – 31 March 2015 st
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Existing members: Enter your current CW number in the box on the right, enter any changes to your details and complete the payment details and declaration. New members: Please complete all sections.
CW
Section 1: Main membership delivery address and contact details. This is the delivery name and address that will appear on all correspondence. Name:
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Tel day:
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Address line 1:
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Tel eve:
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Address line 2:
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Tel mob
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Town:
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County:
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Email:
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Postcode: ...............................................
Section 2: Main and family member’s details. If any of the members are students please state the course end date in the additional notes below. First name(s) Surname Date of BWSW SBDA T/ment Birth No.1 Holder Lake2 Main:
................................................ ..................................... ................. ............... Yes/No Yes/No
Partner: ................................................ ..................................... ................. ............... Yes/No Yes/No Child 1: ................................................ ..................................... ................. ............... Yes/No Yes/No Child 2: ................................................ ..................................... ................. ............... Yes/No Yes/No Child 3: ................................................ ..................................... ................. ............... Yes/No Yes/No Child 4: ................................................ ..................................... ................. ............... Yes/No Yes/No Child 5: ................................................ ..................................... ................. ............... Yes/No Yes/No Child 6: ................................................ ..................................... ................. ............... Yes/No Yes/No Section 3: Additional notes. Please detail below any of the following: • • •
If any members are students, please give course end dates (Required for BWSW registration). If you have any skills you are prepared to offer to CWWSC. How you heard about Church Wilne Water Sports Club.
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If you have previously been a member of British Water Ski & Wakeboard, enter your membership number here. There are minimum standards required for all disciplines using the tournament lake at busy times, for details please refer to the rules and regulations regarding tournament lake use. There is also an additional fee for each family member wishing to use the tournament lake. 1
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Membership application form 2013.odt
Section 4: Payment details. Please complete each section and fill in the amount in the right hand column. Note: Your membership fee includes BWSW membership. Section 4a: Membership category. Family: two adults and their children up to and including the year of their 18th birthday or in full time education, all must reside at the same address.
£606.00
Individual member: one adult only.
£330.00
Student: one person, under 23 years of age in full time education.
£180.00
Junior: one person only up to and including the year of their 18th birthday. £120.00 Section 4b: Joining fee, this is a one off payment required for all new memberships. 3 Family: £202.00 Individual:
£110.00
Student:
£60.00
Junior: £40.00 Section 4c: Tournament lake fee (per person), required if members wish to use the tournament lake. Adult: per person. £116.00 x Junior: up to and including the year of their 18th birthday or under 23 £58.00 x years of age in full time education. per person. Section 4d: Annual Boat registration, required if you wish to use your own boat at CWWSC. Annual boat registration: if you wish to use a boat at CWWSC. 4 £225.00 Section 4e: Boat storage, required if you wish to store you boat at CWWSC. On shore boat parking: if you wish to store your boat at CWWSC. £400.00 Total amount Section 5: Declaration. Please read and sign. I the undersigned do hereby make an application for membership of the Church Wilne Water Sports Club and agree to abide by all the club rules and regulations. These are available from the clubhouse or can be downloaded from our website www.churchwilne.co.uk Signature:
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Date:
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Please return this form with your remittance to the clubhouse or send it to: The Membership Secretary, Church Wilne Water Sports Club Sawley Road Draycott Derbys. DE72 3QF.
Official use only Database updated Income sheet updated Acknowledgement sent
Please make cheques payable to ‘CWWSC’. Payment can also be made by Visa / Mastercard directly at the clubhouse, but must be accompanied by a completed application form.
Details to BWSW BWSW confirmation Email details updated
If a new membership is upgraded within 6 months there will be an additional fee of the difference between the two joining fees. 4 Boats used at CWWSC must be insured through our approved insurer. If a full boat owning membership number is not available you will be allocated a waiting list number, you are still required to pay the boat registration fee and your use of the lake may be restricted. 3
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Membership application form 2013.odt