Application for Club Membership
Each individual member must complete club registration annually and pay the appropriate fees.
Membership period is 1st July - 30th June.

For Family Membership, please enter the primary membership holder below, you will be prompted to enter the details for other family members further through the form.

Annual Subscriptions for the 2018/19 season are as follows:

Junior (under 14 as at 30th September 2018) $90
Senior Patrolling $50
Club Official/Associate $20

Family Membership $220

Surf Craft Levy (seniors only) This will be confirmed and invoiced separately

First name *
Your answer
Last name *
Your answer
Your answer
Gender *
email address *
please supply a frequently used email address for club communications
Your answer
Street address *
Your answer
Home phone number *
Your answer
Mobile phone number
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.