SSC Seniors Club Membership Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

To reduce paper waste we have transitioned to a digital paperless system. If you cannot complete this form for any reason please get in touch to arrange an alternative.

Membership runs on a calendar year basis (January – December), membership fees are as follows:

Groms (7-15 years) £10
Adults (16 years +) £30
Family £45 - Please complete one form for each member of your family

NB: membership form for groms members here: https://tinyurl.com/joinssc-grom

Membership payments can be sent via BACS to the following account:
Sennen Surf Club
Natwest
Sort Code 52-41-31
Account No 45313474
Please put your name as reference, if you have a problem with paying via BACS please let us know

Email *

Your Details

Please complete one form per member, you will be able to submit another later

Name *

DOB *

YYYY

Gender

Female

Male

Other:

Clear selection

Please advise us of any medical conditions or medication being taken that we need to be aware of

Contact Number *

Address *

Postcode *

Please advise us of any medical conditions or medication being taken that we need to be aware of

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms