Full Membership Application

Full Membership Application

Derbyshire County Angling Club Ltd
You are only a few minutes away from joining Derbyshire County Angling Club. Established in 1959, we are a traditional club with sporting values.

To complete your application, you will need a photo (head and shoulders) ready to upload.

The fees are:
- Joining Fee: £380
- Annual Fee 18+: £370
- 16 & 17 years - £75
The season runs from 1st April to 31st March each year.

Applicants aged 16-22 can join the club without paying the joining fee.

Family members can join without paying the joining fee.

Once you complete and submit your application form, the Membership Secretary will contact you to obtain payment and confirm your membership.

Your data will be processed in accordance with our data processing notice, which is available on our website.

If you have any questions about membership or difficulty with this form, please contact us at info@derbyshirecountyac.org

Name*

TitleFirst NameLast Name
Date of Birth*

DayMonthYear
Date
Address*

Street Address

Address Line 2

CityState / Province

Postal Code
Email*

Confirmation Emailexample@example.com
Telephone Number*
Member Photo*

Cancelof

Have you been a member of Derbyshire County Angling before?*

YesNo
Why did you discontinue your previous membership?
Do you have a family member in the Club?*

YesNo
Name of family member
How did you hear about us?
Referral Code
If you have a referral or voucher code - enter it here
WORKING PARTIES

Derbyshire County Angling Club requires that all members of the Club other than: -
- Suffer permanent ill health or physical disability.
- Members who, by virtue of their efforts in other directions, bring significant benefits to the Club and members generally.
- Members who are skilled craftspeople, tradespeople or who provide professional help and offer their services to the Club free of charge in connection with any work of a specialised nature.
Will be required to attend not less than one working party organised by the Club each year if called upon to do so.
Are you exempt from working parties based on the above?

YesNo
Trades or Professions
Do you have any special skills to bring to the club? E.g. Trade Skills, Web Design, Marketing, Photography, etc...

I, {name}, have read and agree to the below statement:
- Adhere to and fish within Club rules.
- First and foremost, the Club is sporting. Whilst the Club stocks good quantities of fish, it cannot operate on a commercial put-and-take basis. Members are limited to the number of trout that can be killed and taken.
- To declare if you have been banned as a ticket or permit holder at any fishery or expelled as a member of any fishing club.
- Failure to supply accurate information on this application form may result in declining membership. If it is found at a later date that information on this form was inaccurate, the management committee reserve the right to terminate membership.
- Your details are processed in line with our data protection statement. This can be found on our website.
Signature*

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