Membership Form

Haversham Sailing Club membership form

Please complete your details on this form then click the button to calculate fees.

Membership information

Activity

Which part of the club would you like to join?

Sailing
Fishing

Status

Is this a new membership or a renewal?

New Member
Renewal

Membership type

Select the membership type you require:

Individual
Family

Student (18-25)

Junior (under 18)

Senior

Social

Personal Information

Name:

Date Of Birth:

Parent/Guardian's Name:

Address Line 1:

Address Line 2:

Town/City:

Postcode:

Parent's Contact details

Phone number:

Email Address:

Website - do not fill:

Photo Consent

The club may arrange for photographs or videos to be taken of Club activities and published on our website or social media channels to promote the club.

I consent to images of the above named person being used by Haversham Sailing Club

Consent may be withdrawn at any time, please contact the Membership Secretary

All junior members require an adult member to act as a sponsor. Please provide the name and membership number of the sponsor, if it is different from the parent/guardian named above

Sponsor:

Additional Family Members

Please enter the number of additional people to be included in the family membership. Provide their names in the table that appears below.

An email address is optional for family members over 18. Please provide a date of birth for members who are under 18. Please tick the Photo Consent box for each member who gives consent to having their photo taken during club activities. This will be parental consent in the case of under 18s.

Number of additional family members:

Berths Required

Please enter the number of berths you require and provide details of craft to be held in berths.

Number of standard dinghy berths:

Number of mini berths:

Please provide details of any additional craft stored in the above berths or intended to be used at the club but stored elsewhere. This includes additional dinghies, sailboards, canoes and paddleboards.

Please enter the number of road trailers that will be stored on the club site:

Number of trailers:

Additional Information

Please provide details of any sailing experience you have:

Where did you first hear about the club?

Other:

Key Deposit

All members are recommended to hold a key for access into the club. A £25 deposit is required for the key

Please check this box if you require a key

Membership Obligations

The club runs with the voluntary support of its members. Please select at least one duty that you would be willing to help with.

Please select at least one duty:

Weed Boat

Bar

Galley

Race Officer

Race Assistant

Safety Boat Helm

Safety Boat Crew

If you select more than one duty, you will be included in the rota where the need is greatest. Training will be offered where required. If you have difficulties with the voluntary duties please contact the club to discuss where you may be able to help.

See "Getting Involved" on the Website for more information about duties.

Payment

Membership: Berth Fees: Key Deposit: Total:

I will pay by:

Bank Transfer
Cheque

Payment by Bank Transfer to:

Barclays Bank

Account Name: Haversham Sailing Club

Sort Code: 20-57-40

Account Number: 10425338

Reference: your full name

Payment by cheque:

Please make cheques payable to Haversham Sailing Club and send to:

Ann Miles Membership Secretary

9 Slated Row

Old Wolverton

Milton Keynes

MK12 5NJ

Cheque Number:

Please pay the fees at the earliest convenience.

Please read and agree to the declarations below. Then click Submit Form.

Declaration

Insurance

All craft used or stored at the club must have third party insurance to the value of £2,000,000. This includes all dinghies, sailboards, canoes and paddleboards. If you do not currently use or store craft at the club, please confirm that you will insure any brought on site in future.

I confirm that I have insurance cover for all craft

Parents and Guardians of Junior Members

Parental consent is required to process the data of any child under the age of 16 years.

Parental consent is required for junior members to join the club.

All children under the age of 16 must have parent/carer/sponsor supervision on site at all times including during Saturday Youth Sessions. Some formal courses may be exempt if they are supervised by an appropriate coach or instructor.

I agree to accept the above conditions

Data protection

The information you provide in this form will be used solely for dealing with you as a member of Haversham Sailing Club. The club will store and save your data in accordance with its Data Privacy Policy which can be found at the following link: Data Privacy Policy

I agree to the data on this form being used in accordance with the Data Privacy Policy