I declare that this information supplied by me is true and correct and I consent to the collection, retention, use and disclosure of it by the Canterbury Car Club Inc. for the lawful activities of the Club.
I agree to meet my obligations under the Health and Safety at Work Act 2015.
I agree to abide by and be bound by the Constitution, By-laws, Rules and Policy of the Canterbury Car Club Inc. If my application to become a member is granted.
My consent is given in accordance with the Privacy Act 1993.