LCC Membership Application Form
Once completed application has been processed, we will email you with payment options to complete your membership application.

Please note that car-parking is provided for members while using club facilities only.

The club will only use any data you provide for communication with you regarding membership and club related activities.

Contact details and hours for the club office can be found at
http://lccsports.net/contact-us/
Email address *
Subscription Rates 2019/20
Full Name *
Address *
Sex *
Date *
Current Date
MM
/
DD
/
YYYY
Telephone *
For Schools Member, please use parent/guardian contact
Occupation/School *
Current occupation or school/college
School Year (Junior Membership only)
Most recent School year if joining during summer school holidays
Date Of Birth *
MM
/
DD
/
YYYY
Previous Club(s) *
List any previous clubs for each sport you intend playing in LCC
Proposer *
If someone is proposing you to join LCC , list their name here. If not, just enter N/A.
Seconder *
If someone is seconding you to join LCC , list their name here. If not, just enter N/A.
Primary Sport *
Select the main sport that you wish to play in LCC
Other Sports *
List any other sports in LCC which you intend playing
Required
Membership Category *
** Additional levies may apply for certain sports - see above for table of rates.
Car Registration and Make/Model
If requiring access to car-park. Note parking is only provided to members while using club facilities
Additional Information
Anything else relevant to your application
Submit
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