Rosemount Membership Form

Hastings Rosemount Bowls Club

Membership Application / Renewal Form
Founded 1921

Website: https://www.rosemountatwhiterockgardens.com/

President - Dean Battell

Secretary - Martyn Naylor

T: 07500 667401 E: rosemountsecretary@gmail.com
The information in the first section below is required by the Club, County and Bowls England.
Under the new GDPR rules and regulations any information passed to any other party will be strictly monitored and only bowls related (ie: competion info/entries etc).

Questions marked with an ASTERISK are required if known, or enter N/A.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

Town / CityCounty

Postal CodeCountry
D.O.B.*

DayMonthYear
Ethnicity*
Phone Number

Area CodePhone Number
Mobile Number*

Area CodePhone Number
Email (optional)
example@example.com
Emergency Contact*

First NameLast Name
Relationship to Member*
Phone Number

Area CodePhone Number
Mobile Number*

Area CodePhone Number
Email (optional)
example@example.com
The information in the section below is required by the club under GDPR rules & regulations to help protect all vulnerable adults but especially children U18 & older adults and may be passed on to the County & Bowls England

Medical history: (please indicate below detais of illnesses/allergies/dietary needs/prescribed medication etc).
Are you Registered Disabled*

YesNoRather Not Say
Description of Disability
Known Illnesses etc. (Include Prescribed Medicines)
Doctor's Details*
I HEREBY ACKNOWLEDGE THE FOLLOWING:

1). The taking of blood or urine samples as regulated by the anti-doping rules of SCB or BE.

2). The supervisory Club/Bowls Representative may on my behalf in a medical emergency consent to my receipt of medical treatment by competent medical authorities, where it would be contrary to the players interest in the Authorities/Paramedic or Doctors opinion should consent not be given.

3). The taking and making of photographs or videos will only be used in conjunction with formal bowls activities of the Club,County (SCB) or Bowls England (BE).

4). I acknowledge that the Club,County or Bowls England are not responsible for providing supervision for the player excepting formal bowls activities.

5).I agree that the above information entered in this document is true & accurate at the time of completion & that I will inform the relative authorities immediately of any changes.
Signature*
Date*

DayMonthYear
Club Competitions

Entry to the Club Competitions is included in the Membership Fee. Only a Full Member is eligible to enter the Club Competitions. For Pairs Matches except the Drawn Pairs please enter both players names.

No Entries will be accepted after the closing date set for the draw or if you are not a Full Paid Up Member.
I/We wish to enter the following competitions*

Singles Championship (All Members)Pairs Championship (Men)Drawn Pairs (All Members)2 Wood Pairs (All Members)No Entry
Enter Names Below

Club Fees*

	FULL MEMBER FEE £50.00 X in BOX	SOCIAL MEMBER FEE £35.00 X in BOX	MEMBERS LOCKER FEE £5.00 ENTER No. REQ	CLUB BOWLS STICKERS £1.00 x 4 ENTER No. REQ	CLUB SHIRT REQ £25 ENTER YES or NO	ENTER SHIRT SIZE XS - 6XL	TOTAL FEES £££'s SUBMITTED
Please Fill in Boxes as Required

Payment Type*

CashChequeBank Transfer
Payment can be made by one of the following methods:

Cash, Cheque or Bank Transfer(Faster Payments) is safe and is preferred.

CASH - (with Application Form) or CHEQUE - (made out to: Hastings Rosemount Bowls Club) or BANK TRANSFER.

Hastings Rosemount Bowls Club - (HSBC) Sort Code - 40-23-18 Account No - 62417766 (If paying by Bank Transfer please remember to use your name as Reference).

By Post to :- Martyn Naylor, Secretary Rosemount BC, 16 Holmebury House, Holmesdale Gardens, Hastings. TN34 1LS
Should be Empty:

Hastings Rosemount Bowls Club