HLG Membership Form

Application for HLG Membership

Please fully complete to become a member of the Club
Personal Details
Name*

TitleFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Phone Number*
Please enter a valid phone number.
Mobile*
Please enter a valid phone number.
Email*
example@example.com
Email of Parent/Guardian if member UNDER 18 years - If you are OVER 18 years then please duplicate your email above
example@example.com
Date of Birth*

DayMonthYear
Date
Current age*
Nationality*
Distance able to swim?*
Medical Conditions*
This will be treated in confidence...if there are none then please type 'None'
Additional Training needs*
This will be treated in confidence...if there are none then please type 'None'

Your Emergency Contact Details

Who we will contact in the event of an emergency!
Emergency Contact Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship:*
How do you know your emergency contact

Current Qualifications

If you don't have any qualifications then please click 'next'
1. I have the following qualification...
The qualification above expires...

DayMonthYear
Upload a copy of your qualification (if possible)

Cancelof
2. I have the following qualification...
The qualification above expires...

DayMonthYear
Upload a copy of your qualification (if possible)

Cancelof
3. I have the following qualification...
The qualification above expires...

DayMonthYear
Upload a copy of your qualification (if possible)

Cancelof
4. I have the following qualification...
The qualification above expires...

DayMonthYear
Upload a copy of your qualification (if possible)

Cancelof

Paying your membership fees

Time to pay your annual subscription, membership runs from 1st January to 31st December each year...
Your annual membership subscription is £20.00

This can be paid in the following ways...

1. Bank Transfer:

Account Name: Hastings Lifeguard

Sort code: 08-92-99

Account number: 67237748

Ref: Member's Name

2. Cheque:

Please email info@hastingslifeguards.org.uk for a postal address

Please note:

Friday evening training subscriptions are £28.00 per month payable before the first Friday of each month to the same bank details above.

Training takes place every FRIDAY evening 8pm to 9.30pm at Hastings Sports Centre.

Gift Aid Declaration

If anyone in your household does pay tax we would be very grateful if you could complete this section so we can claim Gift Aid - It does NOT cost you ANYTHING but we can claim it from HMRC...
Please treat the enclosed membership of £20.00 as a Gift Aid donation.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.
Your Name for Gift Aid

PrefixFirst NameLast Name
Your Address for Gift Aid

Street Address

Street Address Line 2

CityCounty

Post Code
Your Signature for Gift Aid

Clear
Date

DayMonthYear
Please notify the charity or CASC if you: Want to cancel this declaration; Change your name or home address;

No longer pay sufficient tax on your income and/or capital gains.

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
Should be Empty:

Application for HLG Membership