New Member Application Form

New Member Application Form

Please complete the form below to apply for membership.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: 0000-000-000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Membership Type Required
Rowing experience:
You must join Rowing NSW before joining Newcastle Rowing Club. Please enter your membership number below
I have the following equipment to be stored at the club
Name current club member(s) as application sponsor
Please indicate if you have any of the following health conditions by ticking the adjacent box
Doctor's consent: If you answer Yes to any of the 5 questions above please, seek guidance from your GP or appropriate allied health professional prior to undertaking physical activity/exercise.
Declaration:
Declaration:
Signature
Should be Empty: