APPLICATION FOR MEMBERSHIP OF

BRYANSTON WARRIORS FOOTBALL CLUB 2018

MEMBER'S DETAILS:(an applicant renewing membership is requested to confirm that his/her details have not changed)
New member application: / Renewal of membership application: / Please tick
Name of Member: / Mother's namesurname
(if applicant is U18):
Surname of Member: / Father's name & surname
(if applicant is U18):
Date of birth of Member: / D / D / M / M / Y / Y / Y / Y
Identity Number / Passport Number
Male / Female / Please tick
School/tertiary institution: / Grade / Student no. of tertiary institution (if applicable):
Age group:
Postal/ Residentialaddress:
Postal code:
Member's telephone no. (if applicant is 18+): / cell / landline
(h/w)
Mother's telephone no. (if applicant is U18): / cell / landline
(w)
Father's telephone no. (if applicant is U18): / cell / landline
(w)
Alternative contact (emergencies): / cell / landline
Name (emergency contact):
Email address of Member (if applicant is 18+): / Please tick preferred email
Mother's email (if applicant is U18):
Father's email (if applicant is U18):
Preferred method of communication: / Email: / SMS: / Other (specify) / Please tick
Preferred method of payment of Club and section fees: / Bank
Deposit: / Electronic banking: / Debit order: / Please tick
Please send proof of bank deposit slip to / First National Bank
Account Number: 62412602147
Branch code: (Fourways) 251655
Ref: use the members full name / Debit order forms available on request, please e-mail
Consent to receive Club and related marketing material / Yes / No / Please tick
Other relevant information (medication, allergies, etc.)
SEE REVERSE FOR OUR STANDARD TERMS AND CONDITIONS OF MEMBERSHIP AND FOR OUR FEES.
PLEASE SIGN THIS FORM AT THE END – SEE REVERSE.
STANDARD TERMS AND CONDITIONS OF MEMBERSHIP:
The applicant (or the parent or guardian of the applicant under 18 years of age on behalf of the applicant) hereby applies for membershipat Bryanston Warriors Football Club, hereby also referred to as BWFC (the Club) and the sections/sporting disciplines specified on this form, for the duration of the 2018 Season (Beginning-April 2018 to Mid-September 2018), and agrees (should the application be accepted):
  1. That the details specified on this form are accurate and correct.
  2. That the applicant will abide by the rules, Constitution and Codes of conduct of the BWFC and the sections/sporting disciplines in respect of which he/she wishes to become a member.
  3. That the applicant will assist BWFC in the development of sportsmanship and behave in a manner as outlined in the BWFC Member handbook.
  4. That coaching will be left to the coaches.
  5. That all sporting activities arising from his/her membership BWFC are undertaken at the members own risk. The member indemnifies the Club and its members should any injury or harm befall him/her whilst undertaking any such activities.
  6. That the member will pay the fees and/or agree in writing with the Club Treasurer terms on which to pay the fees specified on this form for membership of the Club and the sections/sporting disciplines in which the applicant wishes to participate immediately on receipt of an invoice from the Club. The member acknowledges that he/she is aware that the Club fee are non-refundable fees incurred on acceptance of the applicant and will not be refunded to the applicant in the event of the applicant terminating his/her membership before the end of the financial year.
  7. That the membership shall be renewed annually
  8. That failure to pay the fees specified on this form and by the rules, Constitution and Codes of conduct of BWFC may result in interest being charged or as a final step, the termination of membership of the Club, in which event the applicant will remain liable for payment of all fees due at the date of termination.
  9. That no member will receive a clearance or transfer letter from BWFC should there be outstanding fees payable by the member
  10. That team and individual photographs may be used for BWFC Social media; BWFC Facebook page and BWFC Website

FEES APPLICABLE DURING THE PERIOD BEGINNING MARCH 2018 TO MID SEPTEMBER 2018:(Please tick applicable Club membership and section fees)
It is not permissible for an applicant to participate in a section of the Club unless he/she is a member of the Club
A registration fee of R500.00 is payable to complete registration. This payment is due at registration day.
(This total will be deducted from the Annual Membership Fees)
Club membership fee per Age Group: / Payment Terms: Membership Fees
Little League:
U6 / R3500.00 / If you have selected to pay the membership fee’s monthly over a 4 month
U7 / R3500.00 / period, the instalments will be billed monthly and will bepayable upon
U8 / R3500.00 / receipt of invoice and must be paid on or before the following dates:
U9 / R3500.00
U10 / R3500.00 / 4 Monthly Instalments due:
U11 / R3500.00 / Registration 2018 = / R500
Junior League: / 01 March 2018 = / R750
U12 / R3500.00 / 01 April 2018 = / R750
U13 / R3500.00 / 01 May 2018 = / R750
U14 / R3500.00 / 01 June 2018 = / R750
U15 / R3500.00
Seniors:
U17 and Older / R3500.00
Membership Fees payable over a 4 month period / R750.00 per month
Registration day fee (once off payment at registration) / R500
Discounts on Membership fees will be given if:
Sibling Discount (One or more family members join) / 10% / R3150.00
Early Bird Registration – full payment of membership fee (only if total membership fee is paid by the 28th February 2018) / 10% / R3150.00
TOTAL AGREED FEES PAYABLE: / R
SIGNATURE OF MEMBER/PARENT/GUARDIAN:
DATE: