PIRATES CLUB
Ahoy! We look forward to welcoming you to Pirates. Please fill out the following form and one of our staff members will be in contact with you shortly
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Email *
Membership Application 2022
First Name *
Last Name *
Cell Number *
Alternative Contact number
This can be a work or home phone number
ID Number
Birth Date *
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DD
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YYYY
Gender *
Street Address
Suburb
Occupation
Racial Population group
We require this information for reporting purposes to relevant sport bodies
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Membership *
Special Membership Offer
Special membership offers are made to specific groups or individuals from time to time. If you have received communication about one of these offers and are interested in pursuing please briefly explain below so we can follow up e.g "Road Running 2022 special"
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