PIRATES CLUB
Ahoy! We look forward to welcoming you to Pirates.
Email address *
Membership Application 2020
First Name *
Last Name *
Cell Number *
Alternative Contact number
This can be a work or home phone number
ID Number
Birth Date *
MM
/
DD
/
YYYY
Gender *
Street Address
Racial Population group *
We require this information for reporting purposes to relevant sport bodies
Suburb
Occupation
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 "Parkview Offer" or "Bowls Offer"
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