Membership Application – Pine Ridge Archery

Please use the form below to either apply for membership or to complete your membership renewal. Payments must be made within 3 days of submitting this form to ensure a valid application.

Following your application and payment your application will be reviewed for approval at the next committee meeting.

Name 1 *

First

Last

Name 2

First

Last

Name 3

First

Last

Name 4

First

Last

Junior & Cub date of birth

Please detail the name and birthday date of any cubs (8 to 12 years) or juniors (13 to 17 years)

Email *

Phone Number *

Next of kin *

Next of kin phone number *

Membership Choice *

Please ensure fee's are paid to account number 01 0354 0078235 00. The reference must be your name.

Date of your fee payment *

I consent to Pine Ridge Archers Inc collecting the details provided above, retaining and using those details and disclosing them for the purpose of involving me in the club’s activities now and in the future. I acknowledge my right to have access to this information. The consent is given in accordance with the Privacy Act 1993. I commit to abide by the Pine Ridge Archers Constitution, Rules, Bylaws and Rules of Incorporation and wish to become a financial member for the year 1 April to 31 March.

Location:

Site Facilities:

8:30 AM - 1:00 PM