New Junior Application Form

Have you been a member in the past 6 months?*

YesNo

If you answered Yes you are filling in the wrong form please go to the Junior Renewing Members Application form

Junior Name (as you would like it to appear in your membership book)*

First NameLast Name

Date of Birth*

Date

Are you 16 or 17?*

YesNo

Please select a membership type:*

Do you want to be added to the Holme Pit waiting list?*

YesNo

Are junior contact details (number/address/email) different from the parent/guardian?*

YesNo

Junior Mobile Phone Number (If different from parent)

Please enter a valid phone number.Format: 00000000000.

Junior Mobile Phone Number *

Please enter a valid phone number.Format: 00000000000.

Junior Email (If different from parent)

example@example.com

Junior Email *

example@example.com

Address (if different from parent)

Street Address

Street Address Line 2

City / TownCounty

Postcode

Parent/Guardian Full Name*

Relationship to applicant*

Is parent / guardian a current member of TVA?*

YesNo

Phone Number*

Please enter a valid phone number.Format: 00000000000.

Address *

Street Address

Street Address Line 2

City / TownCounty

Postcode

Parent / Guardian Email*

example@example.com

Consent Statement

I consent to my child becoming a member of TVA.

I understand that TVA is a voluntary organisation run for the
benefit of its members and I agree that it is not reasonable to
expect TVA to be responsible for my child.

I understand that there are hazards associated with the sport of angling and I agree that I remain responsible for my child at all times whilst he or
she is on TVA property or engaged in TVA activities.

I understand and agree that TVA cannot and does not provide
supervision and that my child will be on TVA property and
engaged in the activities of TVA at its own risk.

I understand and agree that my child must comply with all
reasonable rules and conditions of TVA membership.

I understand and agree that neither TVA nor its officers or
committee members shall not be liable for any personal injuries
to members, guest or others on TVA property and shall not be
liable for loss or damage to any property or equipment.

Our GDPR policy can be read at TVA GDPR policy

Parent / Guardian signature: By signing below you agree to the above consent statement*

Contact in event of emergency*

Phone Number*

Please enter a valid phone number.Format: 0000000000.

New Junior Members Application Form