Membership Renewal Form

Health and/or Medical Conditions

No Long-standing inllness or disability

Visual (e.g. blindness or partial sight)

Mobility issues (e.g. difficulty walking short distances, climbing stairs, lifting and carrying objects)

Hearing (e.g. deafness or partial hearing)

Difficulty learning, concentrating or remembering

Mental health problems

Stamina or breathing difficulties

Social or behavioural issues (e.g. autism, attention deficit or Aspergers Syndrome)

Difficulty speaking or making yourself understood

Dexterity issues (e.g. difficulty lifting, grasping or holding objects)

Long-term pain or discomfort that is always present or reoccurs from time to time

Other long-standing illness or disability

Prefer not to say

Please let us know if you might need a bowling aid, such as a wheelchair or bowling arm

Yes, I might need a bowling aid

Annual Fees (tick required)

Full Playing Membership £150

Locker Rental £12

Non-Playing Member £24

Junior/Full-time Education £15

Payment Options - details supplied after submitting form

GoCardless – single payment

GoCardless Direct Debit – Six months (available until 22/09/2024)

Cheque – single payment

Bank Transfer – single payment

Five Rivers IBC is run by volunteers and is always keen to utilise the skills of its members. The club can only operate with the help of its volunteers, and we are always looking for new helpers. If you are able to help in any way or would like to opt-in to one of the below rotas, please tick where applicable

Grounds & Maintenance

Bar

Cleaning

If you have any other skills – please talk to us

Application Agreement

I hereby apply to join Five Rivers Indoor Bowls Club (FRIBC) and agree to abide by the Rules of the Club. A copy of the Club rules, which incorporate Competition and League Rules is available on www.fiveriversibc.com and at the end of rink 1

I confirm that I give my consent for my name, telephone numbers and email to be displayed in the Bar area so that other members can access my details. I consent to receive emails, newsletters and information about club events. FRIBC do not share your information with any third parties. The Clubs full privacy statement is available on the website or can provided in hard copy on request to the Club

A key fob will be provided to allow you access to the club on receipt of your membership fee. The key fob remains the property of the Club

In the event that Five Rivers IBC should become insolvent all current members and those who have been a member within the previous twelve months are liable to pay £10 towards any outstanding liabilities

OFFICE USE ONLY

Booking system access

Fob

Locker key

Join Five Rivers IBC

Full Non-Playing Member

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