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BJCC Membership form
Club membership form - Juniors

Please note that payment of membership fees is due in September each year or when a new member joins but that the fees can be paid in instalments, if required. Please speak with the membership officer at the club if you wish to pay by installments.

Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Male or Female *
Required
How would you describe your chess knowledge?
How would you describe your chess knowledge?
Are any bothers or sisters joining the Club? *
There is no need to fill out forms for everyone at this point. Simply give the names, date of births and schools of those joining.
Your answer
Address *
Your answer
School *
Your answer
Parent / Guardian details
Name *
Your answer
Non playing parents/guardians are enrolled as parent/guardian members of the club (at no cost) *
Please confirm you are happy to be a Parent/guardian member of the club
Required
Parent and Guardian Address *
'As above' if same as Junior
Your answer
Email address
Only if you have one
Your answer
Are you available to volunteer in any capacity in the club?
Photography and publicity
Occasionally we wish to take pictures of our junior player for the club website and to raise awareness of the club and seek sponsorships. We do this in a fully appropriate way and never for any commercial purpose.
Do you agree to allow pictures of your child to be taken in the club or at events attended by club members?
We simply want to be able to show pictures of our members on our website and when publicising our club and chess activities.
Medical question
Are there any medical or other issues relating to this junior member that the club should be aware of? *
Required
If Yes, please describe
Your answer
Urgent Contact
If there is a need to contact someone urgently, can you provide two contact points we should use
Name of Contact Person 1 *
Your answer
Mobile number (contact 1) *
Your answer
Name of Contact 2
Your answer
Mobile number (contact 2)
Your answer
Type of membership sought
Membership sought *
Season goes from September to June - fee due on joining and renewals in September
Notes if needed
Your answer
Code of Conduct - Juniors and Parents
Junior - I agree to abide by the club code of conduct for Junior Players
See club website for full details
Parent/Guardian - I agree to abide by the club code of conduct of Parents/Guardians
See club website for full details
Date of payment
MM
/
DD
/
YYYY
Payment
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