09 576 6434
gymmanager@purc.co.nz

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Senior Club Membership Registration

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Senior Club Membership – 2020
Summer Club – Senior Badminton

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Name*
First Last
Known as
Email*
Mobile*
Home Phone
Address*
Street Address Address Line 2 City ZIP / Postal Code
Member Type*
- New Member
- Returning Member
If you are a New Member, what Club did you play with last season*
Gender*
- Male
- Female
Date of Birth*
Date Format: MM slash DD slash YYYY
Occupation
Which ethnic group do you consider you belong to?*
- NZ European
- Chinese
- Korean
- SE Asian
- Maori
- Pacific Islander
- Fiji-Indian
- South Asian
- African
- Latin American
- Other
If Other, please specify
Are you affiliated through another club?
- Yes
- No
If Yes, please state club
Preferred playing nights (choose 2)*
- Tuesday
- Thursday
- Sunday
Grade
- A
- B1
- B2
- C1
- C2
- D1
- Beginner
Please Note: Grading for play on club nights will be at the discretion of the Club
Personal information notice:
The information collected above will be used only by the Lloyd Elsmore Park Badminton Club, the Auckland Badminton Association and the New Zealand Badminton Federation and will not be used for any purpose other than promoting the sport of badminton. I consent to the collection and use of the personal and other information for the purpose as stated and for the printing of such information in the LEPBC Handbook circulated only to other paid up members of the Club. Each member has the right to request the withholding of any or all of his/her personal and other information for any purpose other than for the Club, Association and Federation Officials to retain a record of their membership.
Please indicate if you do not want your personal details printed in the club handbook
- I do not
Membership Agreement
I hereby apply for membership/membership renewal of the Club and to register with the Association. I agree to abide by the laws of the game and the playing rules of the Club and the Association. I will in no way hold the Club responsible for any injury of mishap that may occur in the course of play at the Club. I acknowledge the membership fee is not refundable to me should I cancel my membership with the Club.
I agree to the terms above*
- Yes
Senior Membership
Price: $ 0.00
Options
- Senior Club: Full Year Membership - 1 club night per week
- Senior Club: Full Year Membership - 2 club nights per week
- Senior Club: Full Year Membership - 3 club nights per week
- Senior Club: Full Year Membership (A-Grade) (*subject to formal trial)
- Senior Club: Half Year Membership - 2 club nights per week
Please Note: 1) Half Season runs from 1st Feb to 31st July, and 1st August to 31 Jan respectively. 2) During December and January, the Senior Club runs only two nights per week. There will be two weeks break during Christmas and New Year Holidays.
Total
$ 0.00

Court Bookings

Email: gymmanager@purc.co.nz
Phone: 09 576 6434

Address

Bell Park
Lady Marie Drive
Pakuranga
Auckland 2010

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