Membership Form
Last updated on : 06/12/10
Forename Surname
Home Address
Telephone Number
Email Address
Work Location
Work Telephone
Work Email
Date of Birth
Family Members

I, and any family members as named above, are members of the East Christchurch Sports and Social Club, and are amateurs as defined by the AAA (see rule 13)

By entering a date you are signifying acceptance of the above